【摘要】 目的了解不典型胎盘早剥产前漏诊的原因。方法回顾性分析10年间胎盘早剥产前未确诊的165例(观察组)患者的临床资料,并与同期产前确诊为胎盘早剥的124例(对照组)比较,分析漏误诊原因。结果观察组发病诱因以催产素等方法引产或催产为最多,临床表现主要为产程中胎心率或胎心监护异常,早剥面积及总出血量均明显低于对照组,总产程<5小时为103例,其中死产及新生儿死亡15例。结论催产素使用不当是胎盘早剥的诱因,症状不典型、产程活跃期进展过快是早剥漏诊的主要原因。更多还原

【Abstract】 Objective To study the causes of misdiagnosis of atypical abruptio placentae.Methods The 165 cases of antepartum misdiagnosed abruptio placentae were retrospectively analyzed and compared with 124 cases of antepartum diagnosed group.Results In antepartum misdiagnosed group,predisposing factor of the disease was improper use of oxytocin.Clinical appearances were mainly abnormality of the fetal heart rate monitoring in labor.The area of abruptio placentae and total amount of bleeding were significantly lower than those of antepartum diagnosed group.The total duration of labor in 103 cases was less than 5 hours.Conclusion Improper use of oxytocin is predisposing factor of the disease.The atypical clinical appearances and short active phase of labor are the cause of antepartum misdiagnosed.Atypical abruptio placentae is an important cause of perinatal mortality.更多还原