目的分析晚期妊娠胎盘早剥的发病因素、临床表现,尽早做出确切诊断,以挽救母婴生命。方法回顾性分析我院2000年2月～2010年2月孕晚期发现胎盘早剥患者的临床资料,总结分析胎盘早剥发生的高危因素,预防措施,诊断及母婴预后。患者分娩后检查胎盘均可见血凝块压迹。结果 50例孕产妇均及时得到救治;45例(90%)母子平安,伴或不伴子宫卒中,均保留了子宫;2例(4%)孕产妇子宫卒中严重,产后出血致切除子宫;3例(6%)胎儿或早产儿死亡。结论胎盘早剥是妊娠晚期的严重并发症,起病急,进展快,严重危及母儿生命。但只要能及时做出诊断并迅速处理便能大大降低母婴死亡率。做好孕期检查,减少引发胎盘早剥的发病因素,将大大减少发病率、降低母婴死亡率。 Objective To analyze the incidence and clinical manifestations of placental abruption in late pregnancy and to make an accurate diagnosis as soon as possible to save the life of mother and infant. Methods The clinical data of patients with placental abruption discovered in our hospital from February 2000 to February 2010 were retrospectively analyzed. The risk factors, preventive measures, diagnosis and prognosis of placental abruption were analyzed. Patients with placental examination after delivery can be seen clot traces. Results All the 50 pregnant women were cured in time. 45 (90%) pregnant women were safe, with or without uterine stroke, and the uterus was retained. In 2 (4%) pregnant women, severe uterine stroke and uterus were caused by postpartum hemorrhage. Case (6%) Fetal or premature infant died. Conclusion Placental abruption is a serious complication of late pregnancy, acute onset, rapid progress, seriously endanger the lives of mothers and children. However, as long as timely diagnosis and prompt treatment can greatly reduce maternal and infant mortality. Good pregnancy check to reduce the incidence of placental abruption caused by factors that will greatly reduce the incidence and reduce maternal and infant mortality.