产科中晚孕急诊床旁彩超检查的应用价值.docVIP

产科中晚孕急诊床旁彩超检查的应用价值 　　[摘要] 目的 探讨产科中晚孕急诊床旁彩色多普勒超声检查的应用价值。 方法 回顾性分析本院２００７年１月～２０１１年５月采用便携式彩色多普勒超声仪进行产科急诊中晚孕床旁超声检查１５５例患者的资料。 结果 １５５例患者中期妊娠２８例，其中胎盘异常１８例，胎儿发育异常引产后出血７例，胎死宫内３例；晚期妊娠１２７例，其中产前胎位、脐带绕颈改变１３例；胎盘异常３０例；羊水过少１３例，脐带脱垂４例；合并急性阑尾炎、输尿管结石９例；产前子宫破裂３例，胎心律失常２５例；胎死宫内２例，足月顺产后合并症２８例。 结论 床旁彩色多普勒超声检查可快捷地为产科医师提供较准确可靠的诊治依据，减少母婴生命危险，具有重要的应用价值。 　　[关键词] 产科；妊娠； 急诊；床旁彩色超声检查 　　[中图分类号] Ｒ４４５．１ [文献标识码] B [文章编号] 1673-9701（2012）04-0104-01 　　 　　The value of emergency application of portable color doppler ultrasonography at late pregnancy in obstetrics:a clinical analysis of 155 cases 　　LU Zhigang LI Xintao 　　Department of Ultrasound, Henan Nanyang Oil Field General Hospital, Nanyang 473132, China 　　[Abstract] Objective To investigate the value of the bedside color Doppler ultrasound in late pregnancy of obstetrics.Methods A retrospective analysis of our hospital in January 2007 to May 2011 with a portable color Doppler obstetric emergency bedside ultrasound in late pregnancy information on 155 patients. Results One hundred and tifty - five patients.Med pregnancy, 28 cases; of which 18 cases of placental abnormalities, 7 cases of fetal abnormalities after abortion bleeding, 3 cases of fetal death;In late pregnancy, 127 cases, In which: prenatal fetal position and the cord around the neck changed, 13 cases. P13 cases of Rupture of the amniotic fluid is too small, 4 cases of umbilical cord prolapse; lacenta abnormalities 30 cases; 9 cases With acute appendicitis and ureteral stones; 3 cases of Antenatal uterine rupture, 25 cases of fetal arrhythmia; Fetal death in 2 cases, 28 cases of full-term post-natal complications. Conclusion Bedside color Doppler ultrasound has an important application value.It can quickly and easily for the obstetrician to provide more accurate and reliable basis for diagnosis and treatment to reduce mother and child life-threatening. 　　[Key words] Obstetrics; Pregnancy; Emergency; Bedside color inspection 　　 　　近年来，随着医疗质量服务水平的不断提高和广大就医患者对医生诊疗技术要求的尽善尽美，彩超在产科患者的检查应