对胎盘早剥产前未确诊的 18例进行分析。 8年间产妇住院分娩总数为 2 0 981人次 ,胎盘早剥 98例 ,发生 0 .47%。其中症状不典型漏诊 18例 ( 18.4%) ,剖宫产 8例 ( 4 4.4%) ,产后出血 7例 ( 3 8.9%) ,新生儿窒息 6例 ( 3 3 .3 %) ,围生儿死亡 1例 ( 5 .5 %)。妊娠高血压综合征、外伤、脐带绕颈、脐带过短是胎盘早剥的主要诱因。症状不典型 ,特别是后壁胎盘 ,且剥离面积小 ,出血不多是造成胎盘早剥漏诊的主要原因 ,对母儿亦有较大危害。 18 cases of placental abruption prenatal undiagnosed were analyzed. 8 years maternity hospital delivery total number of 2 0 981 people, 98 cases of placental abruption, occurred 0.47%. Among them, 18 cases (18.4%) were missed diagnosis, 8 cases (4 4.4%) were cesarean section, 7 cases were postpartum hemorrhage (3 8.9%), 6 cases were neonatal asphyxia (33.3%), perinatal death 1 case (5.5%). Pregnancy-induced hypertension syndrome, trauma, umbilical cord around the neck, umbilical cord is the main cause of placental abruption. Atypical symptoms, especially the posterior wall of the placenta, and the stripping area is small, bleeding is caused by placental abortion missed the main reason for the diagnosis, but also have greater harm to the mother and child.