不典型胎盘早剥48例的临床诊断

Analysis of 48 cases of atypical placental abruption

摘要: 目的:探讨不典型胎盘早剥临床诊断的方法,提高诊断水平。方法:对48例不典型胎盘早剥患者的临床诊断进行回顾性分析。结果:48例不典型胎盘早剥发生率占同期总分娩数的1.6%,诊断主要依靠B超和胎心监护仪等监测数据和临床体征进行综合分析,诊断准确率为91.7%。结论:提高不典型胎盘早剥诊断率应根据病史、临床症状、B超检测结果、电子胎心监护等进行动态观察。

Abstract: Objective:To explore the method of diagnosing atypicai placental abruption so as to enhance the diagnosis level. Methods:The clinical data of 48 patients with atypical placental abruption were analyzed retrospectively. Results:The atypical placental abruption accounted for 1.6% of all the deliveries at the corresponding time period. The diagnosis mainly relied on the clinical monitoring data and clinical signs. The accuracy diagnosis reached 91.7%. Conclusions:The diagnosis of atypical placental abruption should be based on the history,clinical symptoms,B-test,fetal heart rate monitoring and dynamic observation.