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目的:观察对前置胎盘剖宫产术中发生粘连出血的患者采用联合止血的临床效果。方法:84例胎盘粘连植入患者根据止血方法的不同分为观察组与对照组,每组各42例。观察组在剖宫产术中采用联合止血方式,对照组术中未采用联合止血方式,比较两组的术中出血量、平均输血量以及产后出血的发生比例。结果:观察组术中出血量为(201.5±60.3)mL,低于对照组的(435.8±53.1)mL(P<0.05);观察组的平均输血量为(30.5±6.7)mL,产后出血2例(4.72%),均低于对照组的(170.1±35.8)mL和16.67%的产后出血率(P<0.05)。结论:对前置胎盘剖宫产术中发生粘连出血患者采用联合止血临床是有效的,不仅需要在术前做好各项准备工作,联系好充足的血源,还要求在对患者输血抢救的同时有条不紊地进行手术。
Objective: To observe the clinical effect of combined hemostasis on patients with adhesions hemorrhage in cesarean section of placenta previa. Methods: Eighty-four patients with placental adhesion were divided into observation group and control group according to the method of hemostasis, with 42 cases in each group. The observation group used combined hemostasis in cesarean section, while the control group did not use the combined hemostasis method. The intraoperative blood loss, average blood transfusion, and the proportion of postpartum hemorrhage were compared between the two groups. Results: The intraoperative blood loss in the observation group was (201.5 ± 60.3) mL, which was lower than that in the control group (435.8 ± 53.1) mL (P <0.05). The mean blood transfusion volume in the observation group was (30.5 ± 6.7) mL, (4.72%) were lower than the control group (170.1 ± 35.8) mL and 16.67% postpartum hemorrhage (P <0.05). Conclusion: It is effective to use combined hemostasis in patients with adhesions hemorrhage in the placenta previa. It is not only necessary to prepare well before operation but also to get enough blood supply, At the same time methodically conduct surgery.