胎盘早剥

目的：探讨胎盘早剥的病因、早期诊断及处理方法。

Objective To research the value of ultrasound diagnosis of placenta abruption .

结果12例多器官功能衰竭诱因为重度妊高征、胎盘早剥、产后出血、子宫破裂、产褥感染。

Results 12 MOF cases resulted from critical pregnant hypertension , placenta abruption , postpartum hemorrhage , uterine rupture and puerperal infection .

死胎组（删除胎盘早剥者）脐动脉S/D值高于对照组，血压低于对照组（P值均〈0.01）。

The stillbirth group ( delete those with placental abruption ) was significantly higher in umbilical cord blood S / D value and lower blood pressure ( P0.01 ) .

g／kg剂量组除出现上述改变外，死胎数增多。围生儿死亡率与单胎及多胎胎盘早剥有关

The number of the dead fetus increased in the group of 100mg / kg coffeine treated mice . Perinatal mortality associated with abruptio placenta in singletons and multiples

子痫前期，胎盘早剥与宫内死胎患者血清CD活性显著高于正常孕妇，均P<0.01。

The serum CD activity in patients of placenta premature separation , preeclampsia and intrauterine fetal death was distinctly higher than that in normal pregnancies ( P < 0.001 ) .

以胎盘早剥为诱因的7例妊高征并发急性DIC全部治愈，以羊水栓塞为诱因的4例全部死亡。

Cases induced by placental abruption were all cured , 4 cases induced by amniotic fluid embolism all died .

高浓度组孕鼠出现胎盘早剥均较其他三组增多，但各组间比较差异无统计学意义（P0.05）。

Compared with other three groups , the number of placental abruption in high-density group increased , however , these differences are of no statistical significance ( P 0.05 ) .

报道成功救治38例产科DIC的临产资料，发病诱因以妊高征、死胎，胎盘早剥多见。

38 cases of obstetrics complicated with DIC were reported in this paper . The usual predisposing causes of the attack were hypertension of pregnancy , dead fetus and premature separation of placenta .

结果新生儿窒息、胎儿宫内窘迫、脐带因素、胎膜早破、羊水过少、妊高征、胎盘早剥与HIE关系密切。

Results Asphyxia neonatorum , fetal distress , umbilical cord factors , premature rupture of membranes , oligohydramnios , pregnancy-induced hypertension syndrome , premature seperation of normally implanted placenta were the high risk factors which could induce HIE .

诱因：感染（27.2%）、心力衰竭（18.2%）、原有肾炎（占18.2%）、妊娠肾病综合征、药物、胎盘早剥、DIC（各占9.1%）。

The reasons are infection ( 27.2 % ), heart failure ( 18.2 % ), pro nephritis ( 18.2 % ), nephrotic syndrome during pregnancy , drugs , placental abruption , DIC ( all 9.1 % ) .

肾功能衰竭、心力衰竭、眼底出血、HELLP综合征、胎盘早剥、DIC、抽搐等严重并发症的发生率，两组无显著性差异（P>0.05）。

The incidence of HELLP syndrom , heart failure , kidney failure , eyeground bleeding , DIC and abruption placentae was no significant difference between the two groups ( P > 0.05 ) .

结论：产科急性DIC救治中，重视胎盘早剥、前置胎盘及产后出血等原发病的防治，早期诊断，正确规范治疗，可进一步降低该病死亡率。

Conclusion : To further reduce mortality of acute DIC of obstetric patients , prevention and treatment of primary diseases should be focused on such as placental abruption , placental previa , and postpartum hemorrhage , and early diagnosis and proper managements are necessary .

结果HELLP综合征多发生于孕34~+周左右，大部分有腹痛、恶心、呕吐等主诉，可出现胎盘早剥、急性肾功能衰竭、急性心功能衰竭、弥散性血管内凝血等并发症。

Results HELLP syndrome happened around 34 weeks + gestation . Most of patients had the complains of abdominal pain , nausea , emesis , and the complications of placental abruption , acute renal failure , acute heart failure , disseminated intravascular coagulation .

TTTS组辅助生育受孕明显低于非TTTS组（11.1%比40.0%，P<0.05），胎盘早剥发生率明显高于非TTTS组（22.2%比1.3%，P<0.05）；

The ratio of conception by assisted reproductive techniques in TTTS group was lower ( 11.1 % vs 40.0 % , P < 0.05 ), and the incidence of placenta abruption was higher than that of the control group ( 22.2 % vs 1.3 % , P < 0.01 ) .

55例胎盘早剥的病因及母婴预后分析

Analysis of Pathogenesis and Materno-fetal Prognosis in 55 Cases with Abruptio Placentae

34例胎盘早剥的临床观察及护理

Observation and Nursing Care of 34 Cases of Premature Separation of Placenta

51例胎盘早剥的产前诊断及预防

Prenatal Diagnosis and Prevention of Placental Abruption & Clinical Analysis 51 Cases

胎盘早剥致子宫卒中的治疗与监护

Treatment and Monitoring of Uterine Apoplexy Induced by Placental Abruption

胎盘早剥超声诊断的临床价值分析

Clinical value of ultrasonography in the diagnosis of abruptio placenta

目的对产前B超检查产后证实为胎盘早剥的病例进行分析，以提高B超对胎盘早剥的确诊率。

Objective To improve the antenatal diagnosis of placental abruption by ultrasound .

胎盘早剥超声表现与临床病理结果对比分析

The comparative analysis on ultrasonography and clinical pathology diagnose of abruption placentae

围生儿死亡率与单胎及多胎胎盘早剥有关

Perinatal mortality associated with abruptio placenta in singletons and multiples

彩色超声对胎盘早剥的诊断及临床价值

Value of Color Ultrasonography in the Diagnosis of Placental Abruption

胎盘早剥分娩方式的选择

The choice of the delivery mode of placental abruption cases

结果：妊娠晚期胎盘早剥的手术率为80.76%。

Results : Surgical management for placental abruption of late pregnancy was80.76 % .

重度子痫前期导致胎盘早剥相关因素分析

Correlation Factor Analysis on Severe Preeclampsia Induce Placental Abruption

胎盘早剥的B超检查及临床表现（附40例分析）

Clinical observation and B-scan ultrasonography placental abruption ( analysis of 40 cases )

本文对胎盘早剥的诊断和处理及其并发的凝血疾患，进行了讨论。

Diagnosis , management , and coagulation peculiarities of this disease are discussed .

方法对76例被临床及病理证实为胎盘早剥的声像图表现进行回顾性分析。

Methods The ultrasonographic images in 76 patients with abruptio placentae were reviewed .

麻醉后仰卧位低血压综合征致胎盘早剥1例

A case with placental abruption induced by dorsal position hypotension syndrome after anesthesia