前置胎盘40例临床分析

目的：探讨前置胎盘患者的高危因素、治疗及对母婴的影响。方法：对40例前置胎盘患者的临床资料进行回顾性分析。结果：收治住院产妇8466例，其中前置胎盘40例，发生率0．47％，有人工流产或宫腔操作史者26例（占65．00哟，产时产后出血量200～1600ml，无1例发生晚期产后出血，手术后按时拆线出院。围产儿中体重〈2500g12例（占30．00％），2500g28例（占70．00％），新生儿窒息者15例（占37．50％），围产儿死亡2例，病死率5．00％，均为早产儿。结论：前置胎盘威胁孕产妇生命及新生儿健康，应提高诊断水平，采用相应的治疗方法，积极预防前置胎盘的发生。

Clinical analysis of 40 cases of Placenta previa

Objective：To explore the risk factors in patients with placenta previa, treatment and to the influence of maternal and infant. Methods： 40 clinical data of patients with placenta previa in our hospital were analyzed retro- spectively. Result： a total of 8466 cases were received in maternity department in our hospital, among which 40 cases of placenta previa ,the rate was 0.47%, 26 patients artificial abortion or uterine cavity operation history, accounting for 65.00%. Intrapartum postpartum amount of bleeding 200 - 1600 ml, no one case of late postpartum hemorrhage, and all were discharged after stitches. 12 children＇s weight at birth 〈2500g, occupying 30%. 28 children ≥2500g （70%）, neonatal asphyxia is 15 cases （37.50%）. Perinatal infants dead 2 cases, the fatality rate was 5.00%, all for pre- mature babies. Conclusion： Placenta previa threat the maternal and newborn health life, we should improve the level of diagnosis and the corresponding treatment methods, and actively prevent the occurrence of placenta previa.