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目的探讨前置胎盘的高危因素及对母儿的影响。方法对64例前置胎盘患者进行回顾性分析。结果64例前置胎盘患者,平均年龄(27±3)岁;初产妇43例,经产妇21例;有刮宫史者38例(59.37%)。产前出血51例(79.68%),无死亡病例。早产儿33例(51.56%),围生儿死亡4例(6.25%)。结论前置胎盘诊断不难,主要靠产前无痛性阴道流血等症状,B超检查及术中发现。与孕妇年龄及子宫内膜损伤等因素有关,应警惕有无前置胎盘的存在,对母婴预后极其重要。
Objective To investigate the risk factors of placenta previa and its effects on mothers and children. Methods 64 patients with placenta previa were retrospectively analyzed. Results Among the 64 patients with placenta previa, the average age was (27 ± 3) years old; 43 cases were primipara and 21 were maternal; 38 cases (59.37%) had curettage history. Prenatal bleeding in 51 cases (79.68%), no deaths. 33 cases of preterm infants (51.56%), 4 cases of perinatal death (6.25%). Conclusion The diagnosis of placenta previa is not difficult, mainly by prenatal painless vaginal bleeding and other symptoms, B-ultrasound and intraoperative findings. And pregnant women age and endometrial damage and other factors, should be wary of the existence of placenta previa, the prognosis of maternal and child is extremely important.