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目的探讨凶险型前置胎盘剖宫产术中出血的有效治疗措施。方法对2009年12月至2011年10月在我院使用宫腔填塞纱条加卡前列素氨丁三醇治疗的凶险型前置胎盘剖宫产术中大出血病例13例进行回顾性分析。结果凶险型前置胎盘剖宫产术中应用卡前列素氨丁三醇加子宫腔填塞纱条10例获成功,24h后纱条经阴道顺利取出,无1例感染或晚期产后出血发生;2例患者因胎盘完全植入而行子宫动脉栓塞;1例患者行子宫切除,无产妇死亡病例。结论宫腔填塞纱条加卡前列素氨丁三醇是治疗凶险型前置胎盘术中大出血的有效方法。
Objective To investigate the effective treatment of bleeding in cesarean section of dangerous placenta previa. Methods A retrospective analysis was performed on 13 cases of haemorrhage in cesarean section of dangerous type placenta previa treated with intrauterine packing gauze with prostaglandin trometamol from December 2009 to October 2011 in our hospital. Results The application of cardiotomycin plus uterine packing gauze in 10 cases of dangerous placenta previa placenta was successful. After 24 hours, the gauze was removed vaginally without any infection or late postpartum hemorrhage. 2 Cases of patients with uterine artery embolization due to complete placental implantation; 1 patient underwent hysterectomy, no maternal deaths. Conclusion Intrauterine packing gauze plus card prostaglandin trometamol is an effective method for the treatment of severe bleeding during placenta previa placenta accreta.