Uteroplacental apoplexy cannot be seen totally as the indication of hysterectomy, but should apply bilateral ligation of the ascendant branch of uterine arteries or pack the womb with iodoform gauze strip first.

• 结论：重型胎盘早剥早诊断，不能短时间分娩者，立即行剖宫产，尽早应用冷沉淀及输血，子宫卒中可先采用双侧子宫动脉上行支结扎术或碘仿纱条填塞子宫，而不能完全成为子宫切除指征。