前置胎盘致围产期子宫切除患者的临床分析

目的:探究前置胎盘致围产期子宫切除患者的临床效果。方法:将2017年6月~2018年6月某院接收的68例前置胎盘患者作为研究对象,将38例前置胎盘致围产期子宫切除患者作为实验组,30例未实施子宫切除患者作为对照组,分析对比临床效果。结果:(1)实验组患者高龄(15/39.47%)、经产妇(34/89.47%)、剖宫产史(32/84.21%)、流产史(16/42.11%)等高危因素占比均显著高于对照组(P<0.05);(2)20例(52.63%)产妇因失血性休克转至ICU病房,4例(10.53%)因胎死宫内或者妊娠晚期胎儿畸形而实施剖宫取胎,另34例(89.47%)产妇分娩36例新生儿,3例新生儿轻度窒息,2例新生儿重度窒息,12例(12/36,33.33%)新生儿转入新生儿科;其中1例(1/36,2.77%)新生儿出现脑出血与急性呼吸窘迫综合征并发症死亡。结论:产妇高龄、经产妇、流产史以及剖腹产史均是前置胎盘患者出现的危险因素,因此提升风险意识与手术质量,降低术中出血量可以有效改善产妇母婴结局。

Clinical Analysis of Patients with Perinatal Hysterectomy Caused by Placenta Previa

Objective:To investigate the clinical effect of patients with perinatal hysterectomy caused by placenta previa.Methods:A total of 68 patients with placenta previa admitted to a hospital from June 2017 to June 2018 were enrolled as the subjects.The patients with perinatal hysterectomy caused by placenta previa were taken as the experimental group,and there were 38 patients.The control group included 30 patients without hysterectomy.The clinical effect were analyzed.Results:(1)The proportion of high risk factors such as advanced age(15/39.47%),multipara(34/89.47%),cesarean section history(32/84.21%),and abortion history(16/42.11%)of the experimental group was significantly higher than the control group(P<0.05);(2)20 puerpera(52.63%)were transferred to the ICU ward due to hemorrhagic shock,and 4 cases(10.53%)were cesarean due to fetal malformation in the fetal or late pregnancy.In the case of abortion,another 34(89.47%)women gave birth to 36 neonates,3 neonates had mild asphyxia,2 neonates had severe asphyxia,and 12(33.33%)neonates were transferred to neonatology;One neonate(2.77%)died of cerebral hemorrhage and complications of acute respiratory distress syndrome.Conclusion:Advanced age,multipara,abortion history,and history of caesarean section are risk factors for placenta previa.Therefore,improving risk awareness and quality of surgery and reducing intraoperative blood loss can effectively improve maternal and children outcomes.