前置胎盘306例临床分析

本文分析1978～1987年,10年间306例前置胎盘的临床资料。发生率为0.49％。1例死亡,孕产妇死亡率为0.33％。围产儿死亡率为42.62％。准确估计出血量、及时补充血容量为前置胎盘的处理要点。期待疗法可延迟分娩和降低围产儿死亡率。剖宫产为前置胎盘的主要分娩方式。本文对前置胎盘的诊断和处理进行了讨论。

A CLINICAL ANALYSIS OF 306 CASES OF PLACENTA PREVIA

Between the first of January 1978 and the end of December 1987, 306 cages of placenta previa were hospitalized. The incidence of placenta previa was 0.49%. Pre-and perinatal vaginal Weeding in placenta previa threatens maternal and fetal well being. One patient died of shock of bleeding and the maternal mortality rate was 0.33%. The perinatal mortality rate was 42.62%. The focal point of treatment in placenta previa is accurate estimation of blood loss and timely replenishment of blood. Expectant management to delay the delivery and may decrease the perinatal mortality rate. The major mode of delivery was oesarean section. The diagnosis and treatment of placenta previa are discussed.