[摘要] 目的 提高对妊娠晚期胎盘早剥的预防、早期诊断及积极治疗。方法 回顾性研究我院1992年1月~2006年6月23例妊娠晚期胎盘早剥的病例，分析其发病原因、症状、体征、分娩方式、母婴结局及早期识别。结果 妊娠晚期胎盘早剥的手术率65.22%。产后出血、死胎、死产、新生儿窒息的发病率均高于同期住院分娩的发病率。结论 胎盘早剥对母儿生命威胁大，应加强预防，及时诊断及正确治疗可改善母儿预后。

    [关键词] 胎盘早剥;妊娠末期;早期诊断

    Clinical analysis of 23 patients with placenta abruption during late pregnancy

    MA Li-ling.Department of Obstetrics and Gynecology,Changxindian Hospital,Fengtai District,Beijing 100072,China

    [Abstract] Objective To explore precaution,early diagnosis and active treatment of pacental abruption during late pregnancy.Methods Retrospective analysis on 23 cases of placental abruption during late pregnancy from January 1992 to June 2006 in our hospital was performed with regard to the causes,symptoms,signs,child-birth styles,outcomes of mother and infants and early diagnosis.Results The incidence of cesarean section of placental abruption during late pregnancy was 65.22 %.The incidence of postpartum hemorrhage,fetal death,stillbirth and asphyxia of newborn were higer than those normal of delivery in our hospital during the same period.Conclusion Placental abruption is dangerous for pregnant woman and infant.It should be emphasize on precaution,early diagnosis and right treatment to improve the prognosis of mother and fetus. ......