凶险型前置胎盘的围手术期管理  

Peripartum management of pernicious placenta previa

作　　者：徐元春[1] 吴跃芹[1] 康程[1] 王细先[1] 游建群 宋玉喧 

机构地区：[1]北京航天总医院妇产科,100076

出　　处：《中国现代医药杂志》2015年第6期11-13,共3页Modern Medicine Journal of China

摘　　要：目的探讨凶险型前置胎盘患者围手术期管理对改善母儿妊娠结局的影响。方法回顾性分析2006～2013年18例凶险型前置胎盘患者的临床资料,总结围手术期管理流程。结果 18例患者全部行剖宫产终止妊娠,12例（66.7%）胎盘植入,产后平均出血量为（3 044±2 605）ml,14例（77.8%）出现休克,7例（38.9%）发生DIC,6例（33.3%）行子宫全切术,5例（27.8%）进入ICU,3例出现（16.7%）新生儿窒息。结论规范化的围手术期管理可改善凶险型前置胎盘患者母婴妊娠结局。Objective To evaluate the influence of perioperative period management for pernicious placenta previa to improve the pregnancy outcome. Methods Clinical data of 18 patients with pernicious placenta previa in 2006～2013 were analyzed retrospectively. Summarized standardized management strategies of perioperation period. Results 18 cases deliveried by C-section all. Of the 18 cases, postpartum hemorrhage were （3 044±2 605）ml,12 patients were observed placenta accrete （66.7%）, 14 cases had shock （77.8%）, 7 cases had disseminated intravascular coagulation（38.9%）,6 cases performed total hysterectomy （33.3%）,5 cases treated into intensive care unit （27.8%） and 3 cases had neonatal asphyxia （16.7%）. Con-clusion The standardized treatment strategy of ambioperation could improve maternal and neonatal outcomes.

关 键 词：凶险型前置胎盘 围手术期 规范管理 前置胎盘伴植入 

分 类 号：R719[医药卫生—妇产科学]