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一、诊断晚期妊娠发生阴道出血应考虑有前置胎盘、胎盘早期剥离(胎盘早剥)及子宫破裂等可能。本例入院时症状不典型,当时考虑可能为前置胎盘,是日17时30分以后应考虑为胎盘早剥。诊断依据是:1.入院时血压130/90毫米汞柱,后有阴道出血及血压下降。2.宫底升高。3、宫体硬如板状,不能触知胎儿肢体。4.胎心音消失。本例不像前置胎盘,因前置胎盘为无痛性阴道出血,子宫软.胎位清楚,发病缓慢。子宫破裂也可以出现阴道出血、休克、胎心音消
First, the diagnosis of late pregnancy vaginal bleeding should be considered placenta previa, placental abruption (placental abruption) and rupture of the uterus may be. In this case, the symptoms of atypical admission, then consider the placenta previa may be considered after 17:30 for placental abruption. The diagnosis is based on: 1. Admission of blood pressure 130/90 mm Hg, after vaginal bleeding and blood pressure decreased. 2. palace bottom rise. 3, Palace as hard as a plate, can not touch the fetus limbs. Fetal heart sound disappeared. This case does not like the placenta previa, because the placenta previa painless vaginal bleeding, uterine soft .Fat position clear, slow onset. Uterine rupture can also occur vaginal bleeding, shock, fetal heart sound consumption