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胎盘早剥

最后审阅: 12 Oct 2024
最后更新: 13 Dec 2022

小结

定义

病史和体格检查

关键诊断因素

  • 阴道出血
  • 腹痛
  • 宫缩
  • 子宫压痛
完整详情

其他诊断因素

  • 腰痛
  • 胎儿死亡
完整详情

危险因素

  • 慢性高血压
  • 子痫前期
  • 吸烟
  • 吸食可卡因
  • 创伤
  • 前次剖宫产史
  • 未足月早产胎盘早剥
  • 经产
  • 高龄产妇
  • 羊水过多
  • 绒毛膜羊膜炎
  • 子宫畸形
  • 胎盘早剥史
  • 多胎妊娠
  • 羊水过少
  • 子宫肌瘤
  • 易栓症
完整详情

诊断性检查

首要检查

  • 胎儿监测
  • 血红蛋白和血细胞比容
  • 凝血功能检查
  • Kleihauer-Betke(K-B)实验
  • 超声
完整详情

需考虑的检查

  • 胎盘病理
完整详情

治疗流程

初步治疗

所有患者

急症处理

活胎>34周

活胎≤34周

胎儿死亡

撰稿人

作者

Yinka Oyelese, MD, FACOG
Yinka Oyelese

Director, Obstetric Imaging

Beth Israel Deaconess Medical Center

Harvard Medical School

Boston

MA

利益声明

YO is an author of a number of references cited in this topic.

Anthony M. Vintzileos, MD, FACOG
Anthony M. Vintzileos

Chairman

Department of Obstetrics and Gynecology

Winthrop University Hospital

Mineola

Professor

Obstetrics, Gynecology, and Reproductive Medicine

Stony Brook School of Medicine

Stony Brook

NY

利益声明

AMV declares that he has no competing interests.

同行评议者

Christopher Glantz, MD, MPH

Professor of Obstetrics and Gynecology

University of Rochester School of Medicine

Rochester

New York

NY

利益声明

CG declares that he has no competing interests.

Austin Ugwumadu, PhD, FRCOG

Consultant/Senior Lecturer in Obstetrics and Gynaecology

St George's Hospital

London

UK

利益声明

AU declares that he has no competing interests.

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