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晚期妊娠凶险型前置胎盘40例临床分析
作者:陈艳  
单位:广东省农垦中心医院妇产科
关键词:晚期妊娠 凶险型前置胎盘 产后出血 剖宫产 
分类号:
出版年·卷·期(页码):2014·42·第六期(658-660)
摘要:

摘要 目的 探讨晚期妊娠凶险型前置胎盘的发病特点和妊娠结局,提高对本病的认识。方法 将本院收治的40例晚期妊娠凶险型前置胎盘患者列为A组,另选择同期住院60例普通型前置胎盘患者作为B组,采用统计学方法比较并分析两组患者的临床资料。结果 两组患者前置胎盘分型比较差异无统计学意义(P>0.05);A组胎盘植入、产后出血、术中出血量、子宫切除及输血均明显高于B组(P<0.05),两组新生儿结局比较差异无统计学意义(P>0.05)。结论 晚期妊娠凶险型前置胎盘患者产后出血、胎盘植入发生率高,术中出血量多,子宫切除率高,对产妇和新生儿有很大威胁,做好产后出血的预防和抢救措施,可降低对产妇及新生儿的危害。

Abstract:Objective To investigate the characteristics and pregnancy outcomes of late pregnancy pernicious placenta previa , and improve the understanding.Methods 40 patients with pernicious placenta previa admitted to our hospital were selected as group A, and 60 patients with ordinary placenta previa were chosen as the group B.The clinical data were analyzed by using the statistical methods. Results Compared the placenta previa types of the patients in two groups, the difference was no statistical significance(P>0.05); The placental implantation, postpartum hemorrhage, in traoperative blood loss, hysterectomy and blood transfusion of patients in group A were higher than that of group B(P<0.05), compared the neonatal outcomes in two groups, the difference was no statistical significance(P>0.05)。Conclusion The main risk factors of dangerous placenta previa for lying-in woman and neonatus are postpartum hemorrhage and placenta implantation of the patients with pernicious placenta previa, in traoperative blood loss and hysterectomy, good prevention and emergency measures can reduce the danger of lying-in woman and neonates.

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