输卵管妊娠流产或破裂后.PPT

病因Etiology 病因不清，可能和下列因素有关 血管病变 机械性因素 子宫静脉压突然升高 The causative mechanism of abruptio placenta is unknown May due to weakness or abnormal in the spiral arterioles Related to Preeclampsia, gestational HTN，chronic HTN，chronic renal disease, GDM Risk factors: multiple gestation, short umbilical cord, hydramnios and abdominal trauma. 分类classification 显性剥离Overt abruptio placenta 隐性剥离Covert abruptio placenta 混合型剥离Mixed hemorrhage 临床症状clinical Manifestation 妊娠晚期突然发生腹部持续性疼痛，伴有或不伴有阴道流血，常伴恶心呕吐，轻型以显性血为主，重型以隐性血为主，贫血与外出血量不相符，子宫底升高，硬如板状，胎位无法确定 Dark vaginal bleeding, sudden severe abdominal pain, firm or tend