瘢痕子宫合并中央性前置胎盘的急诊干预  

Emergency intervention on scarred uterus complicated with central placenta previa

作　　者：范凌霞[1] 

机构地区：[1]河南省焦作煤业(集团)有限责任公司中央医院妇产科,河南焦作454000

出　　处：《中国医药科学》2015年第10期79-80,120,共3页China Medicine And Pharmacy

摘　　要：目的：探讨瘢痕子宫合并中央性前置胎盘的急诊干预方法与效果。方法2011年2月～2014年10月选择在我院进行住院急诊的瘢痕子宫中央性前置胎盘患者30例，所有产妇都给予急诊剖宫产与子宫切除处理。结果所有产妇都顺利完成手术并顺利分娩，无死亡产妇；选择全子宫切除术22例，次全子宫切除术8例；发生产后出血4例，平均产后出血量为（589.22±100.88）mL。所有新生儿都存活，新生儿的1min Apgar 评分为（8.92±1.00）分，5min Apgar 评分为（9.22±0.67）分；发生巨大儿3例，低体重儿3例，新生儿窒息4例，高胆红素血症2例，发生率为40.0%，都经过对症处理后好转。结论瘢痕子宫中央性前置胎盘需要进行急诊剖宫产处理，术中积极止血，从而改善产妇与新生儿的预后。Objective To study the emergency intervention methods on scarred uterus complicated with central placenta previa. Methods 30 patients with scarred uterus complicated with central placenta previa,who were selected in our hospital from February 2011 to October 2014,were treated with emergency cesarean section and hysterectomy. Results Of all the puerperant,there were delivery successfully finished without death,there were 22 cases with complete hysterectomy and 8 cases with subtotal hysterectomy,there were 4 cases of postpartum hemorrhage,with the average postpartum hemorrhage amount of（589.22±100.88）mL.All of the newborns were survival with the 1min Apgar score of（8.92±1.00）and 5 min Apgar score of（9.22±0.67）.There were 3 cases of macrosomia,3 cases of low birth weight infant,3 cases of neonatal asphyxia, 2 cases of hyperbilirubinemia,with the incidence of 40.0%,who were improvement after symptomatic treatment. Conclusion Scarred uterus complicated with central placenta previa should be treated with emergency cesarean section and with positive hemostasis during operation,in order to improve the prognosis of puerperant and newborns.

关 键 词：剖宫产 瘢痕子宫中央性前置胎盘 急诊干预 

分 类 号：R719.8[医药卫生—妇产科学]