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目的探讨胎盘早剥的病因、临床表现、超声检查及临床处理。方法回顾性分析我院2009年1月至2011年12月间47例超声诊断胎盘早剥的超声诊断及临床分析。结果产后检查胎盘胎膜有凝血块及压迹46例,占97.87%,误诊1例,误诊率2.13%,剖宫产术39例,占82.98%,行阴道分娩8例,占17.02%,并发产后出血23例,占48.93%,子宫切除术5例,占10.63%。结论超声诊断胎盘早剥准确率高,早期诊断,及时处理,积极治疗,提高产科质量,降低母婴死亡率。
Objective To investigate the etiology, clinical manifestations, ultrasonography and clinical treatment of placental abruption. Methods A retrospective analysis of 47 cases of ultrasound in the diagnosis of placental abruption in our hospital from January 2009 to December 2011 was performed. RESULTS: 46 cases (97.87%) had misdiagnosis, misdiagnosis rate was 2.13%, cesarean section was 39 cases (82.98%), vaginal delivery was done in 8 cases (17.02%), and 46 Postpartum hemorrhage in 23 cases, accounting for 48.93%, hysterectomy in 5 cases, accounting for 10.63%. Conclusion Ultrasound diagnosis of placental abruption high accuracy, early diagnosis, timely treatment, active treatment, improve obstetric quality, reduce maternal and infant mortality.