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目的:探讨中央型前置胎盘剖宫产术合并难治性产后出血的有效的处理方法。方法:选择2014年5月至2015年5月来我院剖宫产分娩的中央型前置胎盘孕妇36名为研究对象,回顾性分析患者治疗术后难治性产后出血的手术资料。结果:治疗有效的患者有32例,其中B-Lynch缝合术有2例,宫腔内纱布填塞有25例,术后动脉栓塞有5例,治疗总有效率为88.88%。止血失败的患者,采取子宫切除,止血效果较好。结论:对中央型前置胎盘剖宫产合并难治性产后出血进行积极有效的治疗,根据患者病情选择针对性的治疗方法,可以有效改善患者的出血症状。
Objective: To investigate the effective treatment of central placenta previa with refractory postpartum hemorrhage. Methods: Thirty - six patients with central placenta previa who delivered cesarean to our hospital from May 2014 to May 2015 were selected as the research objects. The surgical data of postoperative refractory postpartum hemorrhage were retrospectively analyzed. Results: There were 32 cases of effective treatment, including 2 cases of B-Lynch suture, 25 cases of intrauterine gauze packing and 5 cases of postoperative arterial embolization. The total effective rate was 88.88%. Hemostatic failure patients, to take a hysterectomy, bleeding is better. Conclusion: The positive preoperative treatment of central placenta previa with intractable postpartum hemorrhage, according to the patient’s condition, select the appropriate treatment can effectively improve the patient’s bleeding symptoms.