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目的:探讨影响中央性前置胎盘预后的相关因素,减少母儿并发症的发生。方法:回顾性分析该院2008年10月～2009年10月收治的60例中央性前置胎盘的临床资料。结果:所有孕妇均以剖宫产术终止妊娠,术中大出血46例,其中剖宫产史25例,胎盘植入11例,前壁胎盘38例。子宫切除14例。新生儿窒息19例,新生儿死亡4例。结论:中央性前置胎盘合并剖宫产史、胎盘粘连植入及前壁胎盘剖宫产时易发生大出血,母儿并发症发生率高。
Objective: To investigate the related factors that affect the prognosis of central placenta previa and to reduce the incidence of maternal and child complications. Methods: A retrospective analysis of the hospital from October 2008 to October 2009 admitted 60 cases of central placenta previa clinical data. Results: All pregnant women were terminated by cesarean section, 46 cases of intraoperative bleeding, including 25 cases of cesarean section, placenta accreta 11 cases, anterior placenta 38 cases. Hysterectomy in 14 cases. Neonatal asphyxia in 19 cases, neonatal death in 4 cases. Conclusion: Central placenta previa with cesarean section history, placenta accreta implantation and anterior placenta during cesarean section prone to bleeding, maternal and child complications high incidence.