轻型胎盘早离的临床表现类似先兆早产,但二者的处理相悖,故其鉴别诊断甚为重要。笔者遇2例误诊,现摘其中1例报告如下。 患者24岁,因30周妊娠、性生活后下腹坠痛并见红1小时,于1994年12月2日以先兆早产收入院。查体:Bp18/14kPa,水肿Ⅱ°,腹围96cm,宫高35cm,胎心142次/min,较弱。给予静滴硫酸镁、口服舒喘灵等保胎治疗,用药30分钟后宫缩抑制。但3小时后腹痛再度出现,阴道流血似月经量,触诊子宫呈持续高张状态,化验报告尿蛋白 Early clinical manifestations of mild placenta similar to threatened preterm birth, but the two contrary to the treatment, so the differential diagnosis is very important. I met two cases of misdiagnosis, now pick one of the cases reported as follows. The patient, 24 years old, was admitted to hospital on December 2, 1994 with threatened preterm labor because of a 30-week gestation and pain in the lower abdomen and a red hour after sex. Physical examination: Bp18 / 14kPa, edema Ⅱ °, abdominal circumference 96cm, palace height 35cm, fetal heart rate 142 beats / min, weaker. Give intravenous infusion of magnesium sulfate, oral cisplatin and other miscarriage treatment, 30 minutes after treatment contractions. However, 3 hours after the reappearance of abdominal pain, vaginal bleeding like menstruation, palpation uterus was continuously high state, laboratory reports urinary protein