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血性羊水1例临床分析

Cui Xiaomei,Song Ruizhen,Guo Wenxing

CHINESE MANIPULATION & REHABILITION MEDICINE（2011）

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Abstract
羊水的量、羊水的成分、羊水中脱落细胞、羊水的性状与胎儿密切相关,临床上最常见、最受关注的是羊水粪染,而血性羊水由于相对较少,对它的研究亦少.胎死宫内,羊水呈红褐色,浑浊如肉汁状.胎盘早剥羊水为粉红色或鲜红色.只要看见血性羊水首先考虑的是胎盘早剥或死胎.血性羊水如不合并胎膜早破,仅能依靠超声提示羊水中见回声光点增多,如有血凝块还可见羊水内漂浮弱回声.有报道胎盘早剥超声中观察到血性羊水表现的可达50%.本例患者系脐带帆状附着破裂出血,且在羊水中找到大量的有核红细胞.但患者出血时间短,脐带破口小,产程进展快,否则如果出血过多,则不能挽救胎儿.
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