前置胎盘剖宫产产后出血的影响原因  

Influence reasons of postpartum hemorrhage after placenta previa caesarean section

作　　者：阙贵珍[1] 杨佩娴 谭秀红[1] 

机构地区：[1]广东省开平市中心医院,529300

出　　处：《中国实用医药》2015年第9期271-273,共3页China Practical Medicine

摘　　要：目的探讨前置胎盘剖宫产产后出血的影响原因。方法前置胎盘剖宫产产后出血的40例患者作为研究对象,分析导致产后出血的原因。结果中央型前置胎盘患者的出血量明显多于其他两种类型,有胎盘植入或粘连、有剖宫产史的患者出血量明显多于无胎盘植入或粘连和剖宫产史产妇,相比差异具有统计学意义(P<0.05);出血量与孕产妇年龄、胎盘附着部位、产妇流产频率无关。结论针对中央型前置胎盘,在产妇实施剖宫产手术时,需借助彩超对胎盘定位,确认子宫切口,从而确保手术的安全和新生儿的顺畅出生。Objective To investigate the influence reasons of postpartum hemorrhage after placenta previa caesarean section. Methods There were 40 patients with postpartum hemorrhage after placenta previacaesarean section as the study subjects. Their causes of postpartum hemorrhage were analyzed. Results Patients with central placenta previa had larger bleeding volume than the other two types, and patients with history of placenta implantation, adhesion, and caesarean section had larger bleeding volume than patients without these history. The difference had statistical significance （P〈0.05）. Bleeding volume had no relationship with age, placenta adherent parts, and abortion frequency of pregnant women. Conclusion For central placenta previa in caesarean section, color Doppler ultrasound should be applied to positioning placenta and confirming uterine incision, so as to guarantee surgical and fetal safety.

关 键 词：前置胎盘 剖宫产 产后出血 

分 类 号：R719.8[医药卫生—妇产科学]