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目的:探讨前置胎盘产前大出血的相关因素,总结紧急处理措施。方法:对诊断前置胎盘出血158例患者进行回顾性分析。结果:剖宫产术147例(93.04%),阴道分娩11例(6.96%)。158例中1例死胎,新生儿窒息7例(重度窒息1例),新生儿预后均良好。2例因产后大出血切除子宫(其中1例为胎盘植入),其余均母婴安全。结论:剖宫产术是处理晚孕期前置胎盘大出血的主要手段,可以最大限度地保证母婴安全。
Objective: To investigate the related factors of prenatal hemorrhage in placenta previa and summarize the emergency measures. Methods: A retrospective analysis of 158 patients diagnosed with placental hemorrhage. Results: Cesarean section in 147 cases (93.04%), vaginal delivery in 11 cases (6.96%). One of 158 cases of stillbirth, neonatal asphyxia in 7 cases (severe asphyxia in 1 case), the prognosis of newborns are good. 2 cases of postpartum hemorrhage due to removal of the uterus (including 1 case of placenta accreta), the rest are maternal and child safety. Conclusion: Cesarean section is the main means to deal with placental hemorrhage in the first trimester of pregnancy, which can ensure the safety of mother and infant to the maximum extent.