胎盘早剥是妊娠中晚期的严重并发症,合并弥漫性血管内凝血(DIC)时,可导致孕产妇和围产儿的发病率及死亡率明显增加,早期诊断和急诊处理是改善围产结局的关键。急诊处理胎盘早剥合并DIC的主要措施在于维持血容量,补充凝血因子,并及时终止妊娠。胎儿存活者应剖宫产终止妊娠,胎儿已死亡者可考虑经阴道分娩。 Acute placental abruption is a serious complication in the second trimester of pregnancy. Combined with diffuse intravascular coagulation (DIC), the incidence of maternal and perinatal morbidity and mortality may be significantly increased. Early diagnosis and emergency treatment may improve perinatal outcome The essential. Emergency treatment of placental abruption combined with DIC main measures is to maintain blood volume, blood coagulation factors, and timely termination of pregnancy. Fetal survivors should be cesarean termination of pregnancy, fetal death may be considered by vaginal delivery.