凶险型前置胎盘39例临床分析  

Clinical Analysis on 39 Cases of Dangerous Placenta Previa

作　　者：刘彩云[1] 龙雁[1] 唐荣瑜 

机构地区：[1]广东省东莞市长安医院,广东东莞523823

出　　处：《实用预防医学》2013年第7期850-851,共2页Practical Preventive Medicine

摘　　要：目的分析凶险型前置胎盘对孕产妇的危害和临床特点。方法以长安医院39例凶险型前置胎盘孕妇为实验组,251例普通型前置胎盘孕妇为对照组,对两组的临床资料进行回顾分析。结果实验组产后出血及产后出血量均多于对照组(P<0.001);实验组术中发生失血性休克、胎盘植入、弥散性血管内凝血(DIC)、输血发生率,均高于对照组(P<0.05)。结论严格掌握剖宫产指征,减少剖宫产率及剖宫产次数,避免多次流产刮宫,从而降低凶险型前置胎盘的发生。注意围术期处理,做好产后出血抢救措施,才能保证孕产妇生命安全。Objective To analyze the maternal hazards and clinical features of dangerous placenta previa.Methods Thirty-nine cases of pregnant women with dangerous placenta previa selected from Changan Hospital were served as experimental group and 251 cases of pregnant women with ordinary placenta previa were considered to be in control group.The clinical data of the two groups were retrospectively analyzed.Results Postpartum hemorrhage and postpartum hemorrhage volume were more in experimental group than those in control group（P〈0.001）.The incidence rates of hemorrhagic shock,placenta accreta,disseminated intravascular coagulation（DIC）,and transfusion in experimental group were all higher than those in control group（P〈0.05）.Conclusions The obstetricians should strictly control the indications of cesarean section,reduce the cesarean section rate and the times of cesarean section,and avoid repeated abortion curettage so as to reduce the occurrence of dangerous placenta previa.More attention must be paid to perioperative management and postpartum hemorrhage rescue measures so as to ensure the safety of the maternal.

关 键 词：凶险型前置胎盘 胎盘植入 产后出血 失血性休克 DIC 

分 类 号：R714.44[医药卫生—妇产科学]