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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 hazards and clinical features of dangerous placenta previa on pregnant women. Methods 39 pregnant women with dangerous placenta previa in Chang’an Hospital and 251 pregnant women with common placenta as control group were included in the study. The clinical data of the two groups were retrospectively analyzed. Results The postpartum hemorrhage and postpartum hemorrhage in the experimental group were more than those in the control group (P <0.001). The incidence of hemorrhagic shock, placenta accreta, disseminated intravascular coagulation (DIC) and transfusion in the experimental group were higher than those in the control group Group (P <0.05). Conclusions Strict indications of cesarean section, reduce the rate of cesarean section and the number of cesarean section, to avoid multiple abortion curettage, thereby reducing the incidence of dangerous placenta previa. Pay attention to perioperative management, do postpartum hemorrhage rescue measures, in order to ensure the safety of pregnant women.