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目的:探讨前置胎盘剖宫产产后出血的影响因素。方法:回顾调查产科收治的50例前置胎盘剖宫产产后出血的产妇作为研究对象,分别观察不同年龄、胎盘附着位置、前置胎盘类型、有无胎盘粘连或植入、流产史或者剖宫产分娩史等对产后出血量的影响。结果:对不同情况下产妇的产后出血量进行比较可见,中央型前置胎盘、合并胎盘植入或粘连、合并剖宫产分娩史等的产妇产后出血量显著高于同组其他产妇,比较均有统计学差异(P<0.05)。结论:前置胎盘的类型对前置胎盘剖宫产产后出血的影响最大,对于中央型前置胎盘的产妇,需要在剖宫产手术实施的过程中,在彩超等的辅助下,确保手术顺利安全,降低产后出血量。
Objective: To investigate the influencing factors of postpartum hemorrhage in cesarean section of placenta previa. Methods: A retrospective investigation of obstetric treatment of 50 cases of placenta previa cesarean section postpartum hemorrhage women as study subjects were observed at different ages, placenta accreta, placenta previa, with or without placenta accreta or implantation, history of abortion or cesarean section The impact of birth and delivery history on the amount of postpartum hemorrhage. Results: Comparison of maternal postpartum hemorrhage in different situations shows that the amount of postpartum hemorrhage in patients with central placenta previa, placenta accreta or placenta accreta and cesarean delivery history was significantly higher than that of other mothers in the same group There was a significant difference (P <0.05). Conclusion: The type of placenta previa has the greatest impact on cesarean section postpartum hemorrhage. For women with central placenta previa, it is necessary to ensure the successful operation of the cesarean section with the help of ultrasonography Safe, reduce the amount of postpartum hemorrhage.