摘要
目的:分析前置胎盘的临床特点及处理。方法:回顾性分析前置胎盘126例,其中凶险性前置胎盘29例。结果:①凶险性前置胎盘并发胎盘植入的发生率31.03%(9/29);②凶险性前置胎盘产时产后出血明显多于普通性前置胎盘者,凶险性胎盘者平均出血量(3026.26±427.5)mL,③凶险性前置胎盘治疗均采用手术终止妊娠,其中子宫切除率24.1%(7/29),保守性手术局部缝扎、局部切除,宫腔填塞、B-Lynch缝合、阴腹联合缝法和宫动脉结扎等,普通型前置胎盘者子宫切除率1.5%(2/126)。结论:①凶险性前置胎盘应警惕并发胎盘植入;②凶险性前置胎盘导致严重的产时产后出血对产妇造成身心危害,强调终止妊娠时做好充分的术前准备;③严格把握首次剖宫产指针,是减少凶险性前置胎盘的关键。
Objective： To analyze the risks of placenta previa clinical features and treatment.Methods： Aretrospective analysis of January 2001 ～ 2010 admitted to our hospital in December of previa in 126 cases,of which 29 cases of placenta previa danger of clinical data.Results： ①risks of placenta previa complicated by placenta accreta incidence of 31.03%（9/29）;②risks of placenta previa,when production was more than an ordinary nature of postpartum hemorrhage are placenta previa,the placenta dangerous the average amount of bleeding as high as（3026.26 ± 427.5） mL,③risks of placenta previa were treated with surgical termination of pregnancy,including hysterectomy rate of 24.14%（7 /29）,conservative surgery： partial ligation,local excision,uterine packing,B-Lynch suture,joint stitch and overcast Palace abdomin alartery ligation,while the ordinary type of placenta previa by hysterectomy rate of 1.5%（2 /126）.conclusion： ①risks of placenta previa complicated by placenta should be alert to implantation;②danger of placenta previa cause severe intrapartum maternal postpartum hemorrhage caused byphysical and psychological harm,emphasizing the termination of pregnancy to make full preparation before surgery,③strictly for the first time cesarean section pointer is to reduce The key danger of placenta previa.
出处
《实用中医药杂志》
2012年第2期138-139,共2页
Journal of Practical Traditional Chinese Medicine
关键词
前置胎盘
临床特点
产时产后出血
dangerous placenta previa clinical features postpartum hemorrhage intrapartum
