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1986年1月~1991年6月共收治前置胎盘201例,占同期分娩总数的1.26%。初产妇32例(15.92%),经产妇169例(84.08%),有人工流产史者69例(34.33%)。中央性前置胎盘37例(18.41%),部分性117例(58.21%),边缘性47例(23.38%)。分娩方式采用剖宫产152例(75.63%),经阴道分娩49例(24.38%)中,有8例中央性前置胎盘胎儿已死亡,行"胎盘打洞"经阴道分娩。产妇因失血性休克死亡1例,病死率为0.5%,新生儿死亡19例,病死率为9.31%。最后结合基层医院的临床实践,对前置胎盘的原因、终止妊娠的方式及剖宫产术中出血等问题进行了讨论。
January 1986 ~ June 1991 were treated 201 cases of placenta previa, accounting for 1.26% of the total number of deliveries over the same period. There were 32 primiparas (15.92%), 169 mothers (84.08%) and 69 cases (34.33%) of abortion. There were 37 cases (18.41%) with central placenta previa, 117 cases (58.21%) partially, and 47 cases (23.38%) marginalized. Among 152 cases (75.63%) of cesarean delivery and 49 cases (24.38%) of vaginal delivery, 8 cases of central placenta previa had died and “placenta accreta” vaginal delivery. One patient died of hemorrhagic shock, with a case fatality rate of 0.5%, 19 neonatal deaths and a case fatality rate of 9.31%. Finally, combined with the clinical practice of primary hospitals, the reasons for placenta previa, the way of termination of pregnancy and bleeding in cesarean section and other issues were discussed.