本文分析了北京妇产医院1979～1985年,所处理的121例胎盘早剥,发生率为0.27%。发现大部分痛性阴道流血,系由无痛性阴道流血发展而来,故对妊高征患者伴发少量无痛性阴道流血应予重视。早期诊断无痛性轻型胎盘早剥并及时处理可降低胎婴儿的死亡率和母亲的合并症。本文对胎盘早剥的诊断和处理及其并发的凝血疾患,进行了讨论。 This article analyzes the Beijing Maternity Hospital from 1979 to 1985, the treatment of 121 cases of placental abruption, the incidence was 0.27%. Found that most of the painful vaginal bleeding, developed by the painless vaginal bleeding, so patients with PIH with a small amount of painless vaginal bleeding should be attention. Early diagnosis of painless mild placental abruption and timely treatment can reduce fetal infant mortality and maternal complications. This article discusses the diagnosis and management of placental abruption and its associated coagulation disorders.