胎盘早剥的诊断和处理
China Practical Medicine(2011)
Abstract
<正>1定义胎盘早剥是指正常位置的胎盘在胎儿娩出前,部分或全部从子宫壁剥离。2发生率国内报道为0.46%~2.1%,国外为0.5%。胎盘早剥系死产的首要原因,占15%。3发生趋势和危险因素文献报道胎盘早剥的发生率呈上升趋势。与胎盘早剥相关的危险因素有孕妇高龄,血栓性疾病,胎盘部位子宫肌瘤,羊水过多,脐带过短,宫腔压力骤减如胎膜早破(有报道危险性升高3倍),胎盘后穿刺部位出血,宫内死胎史,和孕前低体质指数,胎儿生长受限,腹部外伤,慢性高血压或妊娠期高血
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