Misdiagnosis of placental abruption.doc

 PAGE \* MERGEFORMAT 11 Misdiagnosis of placental abruption Keywords: placental abruption Misdiagnosis Gestation “period of 20 weeks or delivery of the placenta normal position before the baby is delivered, some or all of the spin-off from the uterine wall, said placental abruption (PA) [1], is the third trimester bleeding of the important reasons. Is a serious obstetric complications, rapid onset, rapid development, such as the diagnosis processing is not timely, life-threatening maternal and child, affect the prognosis. In this paper, 32 cases of PA were retrospectively analyzed to explore the reasons for misdiagnosis of PA, with a view to reduce perinatal mortality and improve quality of obstetrics. A clinical data 1.1 General Information From January 2001 to December 2006 our hospital birth 8112 cases occurred PA 32 cases (incidence 0.39%), age 19 to 38 years old, an average of 28 years of age; 32 ~ 40 weeks pregnant (gestational age “34 weeks 25 cases) . As early as eight cases of severe peeling (bleeding volumegt; 1500ml, of which 3 cases of uterine placenta stroke); mild morning peel in 24 patients (blood volume of 800ml or so). See the placenta after childbirth are both spin-off surface. Prenatal diagnosis of PA is only 8 cases (25%). 1.2 pre-B ultrasonic examination 32 cases admitted to hospital by B ultrasonic examination in 16 cases, of which eight cases of B-diagnosed as PA, including the placenta peeling face “1 / 2, and 4 cases of severe early stripping stripping surface ≤ 1 / 3 of the 4 cases of mild peeling back. The remaining eight cases of B-no early signs of peeling after admission has not re-review of B-. Therefore, prenatal diagnosis of B-right PA accuracy of 50%. 1.3 clinical symptoms 18 cases admitted to hospital with abdominal pain and vaginal bleeding to be produced; three cases of premature rupture of membranes had no significant bleeding after admission, after oxytocin indu