1 case of late diagnosis of placental abruption.docVIP

 PAGE \* MERGEFORMAT 7 1 case of late diagnosis of placental abruption [Keywords:] abruption; late diagnosis Placental abruption is a serious complication of late pregnancy, acute onset, rapid development, if the treatment is not timely, can jeopardize the mother of child life. Severe placental typical symptoms and signs, diagnosis, and more without difficulty. Some light placenta stripping can be no early symptoms, such patients often overlooked. now 1 case light case of late diagnosis of placental abruption reported below. A medical record Pregnant women, 26 years old, pregnant 2 production 0. Because 38 +3 weeks pregnant belly bulge 2 days under water with the vaginal 30 min, on July 6, 2009 0:30 am admitted to hospital. Admission examination: T 37 ℃, BP 135/80 mm Hg, P 80 times / min, R 18 times / min. abdominal circumference 90 cm, fundal height 29 cm, contractions 10 ~ 20 s/20 ~ 30 min, fetal heart sound 130 times / min. vagina see a small amount of bloody secretions, cervical part of the disappearance of large cervix 3 cm, the amniotic sac has broken, the amniotic fluid clear, and the first outcrop, -2, semi-fixed, external pelvic measure 24 cm × 26 cm × 19 cm × 9 cm. ultrasound fetal head biparietal diameter 9.0 cm, amniotic fluid, 6.3 cm, placental maturity Ⅱ. admission diagnosis: pregnancy 2 production 0 38 +3 weeks pregnant and head position in labor. After treatment: admission requirements after vaginal delivery patients and their families, their height 165 cm, pelvic conditions, and birth weight 2 500 ~ 3 000 g, has entered the active phase of labor, given the vaginal trial production. because of the fetal head is not completely fixed, in order to prevent cord prolapse, breech elevation, intermittent oxygen to observe the birth process progress and fetal heart rate changes. the night monitoring the fetal heart rate law, fluctuations in the 130 ~ 140 times / min, slightly shorter interval between contractions, duration unchanged at 10 ~