




版权说明:本文档由用户提供并上传,收益归属内容提供方,若内容存在侵权,请进行举报或认领
文档简介
placentalabruption2022/11/111
At20weeks’gestationlaterordeliveryterm,wholeorpartialabruptionhavetakenplacebeforesecondstageoflaborforplacentainnormalposition.
Itcomplicates0.462.1%ofallpregnancies.Theperinatalmortalityrateduetoplacentalabruptionis20%-35%presently.Definition2022/11/1122022/11/1131.Vasculardisease
hypertensivedisorderscomplicatingpregnancy(preeclampsia子痫前期)
hypertension
nephrosis(肾病)Etiology2022/11/114Etiology2.mechanicalfactors
trauma
extremeshortnessofumbilicalcord(脐带过短)amniocentesis
(羊膜穿刺术)2022/11/115Etiology3.uterinevolumesuddenlynarrowuterinecavitypressuredrop
fetalpresentationdescentquickly
polyhydramnios(羊水过多)ruptureofmembrane
twins,thefirstonelaborrapidly2022/11/116Etiology4.Venouspressureofuterinesuddenlyheighten
supinehypotensivesyndrome(仰卧位低血压综合症)Venouspressureofuterinesuddenlyheighten
deciduavein’sbedcongestionorruptureplacentalabruption2022/11/117Etiology5.Theothers:Cocaineabuse,smoking,etc.2022/11/118
Basalpathophysiology
:basaldeciduableedinghematomaofposteroplacenta(胎盘后血肿)adhesionplaceabruption1.UteroplacentalapoplexyBleedingintothemyometriumoftheuterusgivingadiscoloredappearancetotheuterinesurface.(calledCouvelairuterus,too库弗莱尔子宫)Pathophysiology
2022/11/1192022/11/11102022/11/11112.Coagulationdisorders
Placentaabruptionresultsfromreleaseofthromboplastin(促凝血酶原激酶)fromthedisruptedplacentaandthesubplacentaldeciduaintothematernalcirculation,causeaconsumptivecoagulopathy(消耗性凝血病).Pathophysiology2022/11/1112
Categories
1.Revealedabruption
Bloodextenddownwardtowardthecervix,resultinginanexternalorrevealedhemorrhage.2022/11/11132022/11/1114
Categories2.Concealedabruption
Bloodmaydissectupwardtowardthefundus,resultinginanconcealedhemorrhage.2022/11/11152022/11/1116Categories3.mixedabruption2022/11/1117clinicalmanifestation
Cardinalsymptom
:suddenabdominalpainandsomevaginalbleeding.
2022/11/1118clinicalmanifestation
ⅠⅡⅢ
area
1/31/3左右1/2categories
revealed
concealed/revealedconcealedsymptom
litterbleedingsuddenabdominalpain
bleedingornobleeding
noabdominalpaindiscrepancyofanemia/bleeding
classicanemia
noanemiadiscrepancybleeding/general
sign
uterinesoft,notendernessuterine>gestationweeksuterinehardnesslikesboard,tenderness,,
uterine/gestationweeksconformityfundusrise,uterine>gestationweeks
fetusgoodtenderness,fetusalivefetalhearttonesdisappear
postpartumcheckplacentauterinecontractionuterinecontractionno
isintermissionintermission,shock2022/11/11191.Ultrasound:auxiliaryexamination
2022/11/11201.Ultrasound:2022/11/1121auxiliaryexamination2.laboratoryexamination
DICexamination
Fibrinolysisconfirmeddiagnosistest
(纤维蛋白溶解确诊试验)
2022/11/1122
Diagnosisaccordingto:
Casehistory,symptom,signandultrasound,itcanbediagnosis.2022/11/11231DICandcoagulationdisorders
2.Postpartumhemorrhage.3.Acutekidneyfailure
(急性肾功衰).4Amnionicfluidembolism;amnioticfluidembolism.(羊水栓塞)5.Fetaldeath.Complication2022/11/1124Therapeuticprinciple:Countershock(抗休克)
PreventionandcureDIC,acutekidneyfailure
.
Terminationofpregnancyintime.
Treatment2022/11/1125TreatmentTerminationofpregnancy:
vaginaldelivery:Ⅰ,inshorttime
cesareansection:Ⅱ,Ⅲ,Ⅰdegreewithfetaldistress(胎儿窘迫);fetaldeathcannotd
温馨提示
- 1. 本站所有资源如无特殊说明,都需要本地电脑安装OFFICE2007和PDF阅读器。图纸软件为CAD,CAXA,PROE,UG,SolidWorks等.压缩文件请下载最新的WinRAR软件解压。
- 2. 本站的文档不包含任何第三方提供的附件图纸等,如果需要附件,请联系上传者。文件的所有权益归上传用户所有。
- 3. 本站RAR压缩包中若带图纸,网页内容里面会有图纸预览,若没有图纸预览就没有图纸。
- 4. 未经权益所有人同意不得将文件中的内容挪作商业或盈利用途。
- 5. 人人文库网仅提供信息存储空间,仅对用户上传内容的表现方式做保护处理,对用户上传分享的文档内容本身不做任何修改或编辑,并不能对任何下载内容负责。
- 6. 下载文件中如有侵权或不适当内容,请与我们联系,我们立即纠正。
- 7. 本站不保证下载资源的准确性、安全性和完整性, 同时也不承担用户因使用这些下载资源对自己和他人造成任何形式的伤害或损失。
最新文档
- 公司小额借款合同范本
- 包包维修合同范本
- 加盟司机服务合同范本
- 公租房签约合同范本
- 厂家和个人运营合同范本
- 借条合同范本版
- 医药代理协议合同范本
- 华能煤炭供应合同范本
- 农副产品化肥购销合同范本
- 南京销售人员合同范例
- JBT 7041-2006 液压齿轮泵标准规范
- 水浒传读书分享(完美版)模板两篇
- 《配电自动化运维人员培训考核规范(征求意见意见稿)》
- (中职组)植物病虫害防治知识竞赛考试题库(含答案)
- 肌肉注射新版本
- 大班语言活动-海豹到哪里去了
- 2021年4月自考00808商法试题及答案含解析
- 高考概率大题必练20题(理科)-含答案
- 新人通识训试卷附有答案
- 凉水井煤矿矿山地质环境与土地复垦方案
- 果实酚类和挥发性物质含量特征及其与果实品质关系的研究
评论
0/150
提交评论