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目的分析胎盘植入的相关因素及妊娠结局。方法对2002年1月至2012年6月间收治的28例胎盘植入患者与非胎盘植入者的年龄、分娩次数、人流次数、剖宫产史、合并前置胎盘、产后出血、子宫切除及早产儿发生率等指标进行回顾性分析。结果胎盘植入的高危因素包括:孕妇年龄≥35岁、分娩次数≥2次、人流次数≥2次、有剖宫产史、合并前置胎盘;胎盘植入患者发生产后出血、失血性休克、子宫切除及早产儿发生率均明显高于非植入组。结论高龄、经产妇、多次人流史及有剖宫产史或合并前置胎盘是发生胎盘植入的高危因素,对这些因素应充分重视;而且胎盘植入患者易出现严重的产后出血,导致母儿生命危险,应做好预防措施和抢救措施。
Objective To analyze the related factors of placenta accreta and pregnancy outcome. Methods From January 2002 to June 2012, 28 cases of placenta accreta and non-placenta accreta were enrolled in this study. Their age, number of deliveries, number of abortions, history of cesarean section, combined placenta previa, postpartum hemorrhage, hysterectomy And the incidence of premature children indicators such as retrospective analysis. Results High risk factors for placenta accreta included: pregnant women ≥35 years of age, number of deliveries ≥2 times, number of abortions ≥2 times, history of cesarean section with placenta previa, placenta accreta postpartum hemorrhage, hemorrhagic shock, Hysterectomy and the incidence of premature children were significantly higher than non-implantation group. Conclusion The elderly, the maternal, multiple abortion history and history of cesarean section or placenta previa is placenta accreta risk factors, these factors should be fully taken seriously; and placenta accreta patients prone to severe postpartum hemorrhage, resulting in Mother and child life is dangerous, should take precautions and rescue measures.