目的 :主要对临产孕妇的常规凝血四项进行检测并分析其临床指导意义。方法 :使用日本sysmex CA-1500全自动凝血分析仪对111例临产孕妇(观察组)与106例正常非妊娠妇女(对照组)的凝血4项指标进行比较分析。结果 :临产孕妇的Fbg明显高于对照组,有显著性差(P<0.01);TT与对照组相比,无显著性差异(P>0.05);临产孕妇的APTT和PT明显低于对照组。结论 :孕妇分娩前检测凝血4项指标对预防血栓形成、妊娠高血压综合征、胎盘早剥、DIC、产后血栓、早产、死胎等产科意外有重要指导作用。 Objective: To detect and analyze the clinical significance of routine clotting in pregnant women. Methods: Four indexes of coagulation in 111 pregnant women (observation group) and 106 normal non-pregnant women (control group) were compared and analyzed using Japanese sysmex CA-1500 automatic coagulation analyzer. Results: The Fbg of pregnant women was significantly higher than that of the control group (P <0.01). There was no significant difference between the TT group and the control group (P> 0.05). The APTT and PT of the pregnant women were obviously lower than those of the control group. CONCLUSION: The four indicators of pre-delivery coagulation test in pregnant women are important to prevent obstetric accidents such as thrombosis, pregnancy-induced hypertension syndrome, placental abruption, DIC, postpartum thrombosis, premature birth and stillbirth.