Abstract:

Objective　To explore the early diagnosis of placental abruption, and to provide reference experiences for future early diagnosis and early treatment, improving the survival rate and quality of life of maternal and perinatal infants, and effectively ensuring the maternal and infant safety. Methods　Three cases of placental abruption admitted to Yantai Laiyang Central Hospital were reviewed, and the relevant literatures were reviewed. Results　Three pregnant women had different degrees of vaginal bleeding, abdominal pain or plate abdomen upon admission, and fetal heart monitoring indicated mild baseline variant or variable disappearance, fetal bradycardia, late deceleration, abnormal contraction wave, etc. One of them developed into disseminated intravascular coagulation (DIC) and one developed into shock. After timely surgical termination of pregnancy and high-quality neonatal resuscitation, the mothers and infants were safe, and the maternal fertility was preserved. The three infants developed well during follow up, and no obvious sequelae were found. Conclusion　Correct interpretation of fetal heart monitoring is conducive to the early diagnosis of placental abruption.

Key words:

Placental abruption, Fetal heart monitoring, Baseline variant

摘要：

目的　探讨胎盘早剥的早期诊断依据，为今后的早诊断、早处理、提高孕产妇及围产儿生存率和生活质量、有效保障母婴安全提供参考经验。方法　回顾分析烟台市莱阳中心医院收治的3例胎盘早剥产妇，并复习相关文献。结果　3例产妇入院时出现不同程度阴道流血、腹痛或板状腹，胎心监护提示基线轻度变异或变异消失、胎儿心动过缓、晚期减速、宫缩波异常等。其中1例发展为弥散性血管内凝血（DIC），1例发展为休克。经过及时手术终止妊娠和高质量的新生儿复苏抢救，母婴安全，并保住了产妇的生育能力，3例婴儿随访发育皆佳，未发现明显后遗症。结论　正确解读胎心监护，有利于尽早诊断胎盘早剥。

关键词:

胎盘早剥, 胎心监护, 基线变异