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目的:探讨妊娠期高血压疾病并发胎盘早剥的早期诊断及临床处理。方法:对37例妊娠期高血压疾病并发胎盘早剥临床资料进行回顾性分析。结果:除2例sherI度无不适外,其余均有子宫局部压痛、张力增大等临床表现,阴道出血8例,无阴道出血29例,仅12例经B超检查确诊。急诊剖宫产35例,无一例死亡。结论:妊娠期高血压疾病并发胎盘早剥多为隐性出血,早期诊断靠临床表现,B超仅供参考。急诊剖宫产终止妊娠是明智选择。
Objective: To investigate the early diagnosis and clinical treatment of hypertensive disorders complicating pregnancy during pregnancy. Methods: The clinical data of 37 cases of pregnancy-induced hypertension complicated with placental abruption were retrospectively analyzed. Results: In addition to 2 cases of sherI degree without discomfort, the rest have uterine local tenderness, increased tension and other clinical manifestations, 8 cases of vaginal bleeding, no vaginal bleeding in 29 cases, only 12 cases confirmed by B-ultrasound. Emergency cesarean section in 35 cases, no one died. Conclusion: Hypertensive disorders complicated with placental abruption in pregnancy mostly occult bleeding, early diagnosis by clinical manifestations, B- for reference only. Emergency cesarean termination of pregnancy is a wise choice.