前置胎盘剖宫产产后出血相关因素分析  

Correlative factors analysis of postpartum hemorrhage in placental previa during cesarean section

作　　者：吴丽杰[1] 王玉萍[1] 陈庆云[1] 

机构地区：[1]中日友好医院妇产科,北京100029

出　　处：《中日友好医院学报》2010年第4期209-211,254,共4页Journal of China-Japan Friendship Hospital

摘　　要：目的:探讨前置胎盘剖宫产产后出血的相关危险因素及适宜的临床处理方法。方法:回顾性分析我院2005年1月～2008年12月行剖宫产的前置胎盘患者80例,观察产后出血量多少与前置胎盘种类、胎盘附着部位、流产次数、剖宫产史及孕妇年龄等因素的关系。结果:中央型前置胎盘者出血量显著多于部分型和边缘型前置胎盘(P<0.01);有剖宫产史者出血量显著多于无剖宫产史者(P<0.01);胎盘附着部位、流产次数、年龄等因素与出血量无明显相关(P>0.05)。结论:中央型前置胎盘及剖宫产史是前置胎盘剖宫产产后出血的高危因素。Objective：To appraise the risk factors inducing postpartum hemorrhage （PPH）in placental previa during cesarean section.Methods：Clinical data of 80 cases of pregnant women with placenta previa who underwent cesarean section in China-Japan Friendship Hospital from Jan.2005 to Dec.2008 were retrospectively analyzed.Results：The amount of bleeding in pregnant women with central （complete）placenta previa was more than that of those pregnant women with incomplete （partial）or marginal placenta previa （both P0.01）.The amount of bleeding was related to have receiving cesarean section before and had no relationship to the position of placenta,induced abortion history or age of the pregnant woman（P0.05）.Conclusion：History of cesarean section and complete（central） placenta previa are high-risk factors of PPH in placental previa.

关 键 词：前置胎盘 剖宫产 出血 

分 类 号：R719.8[医药卫生—妇产科学]