32例前置胎盘的临床分析

目的探讨前置胎盘的临床特点,治疗方法及对母儿的影响。方法对2002-2009年我院收治的32例前置胎盘患者的临床资料进行回顾性分析。结果32例患者中产前出血4例（12.5%）;产后出血11例（34.37%）,无1例切除子宫;剖宫产术31例（96.87%）;早产10例（31.25%）;新生儿轻度窒息2例,重度窒息1例（9.37%）。结论重视前置胎盘的高危因素;择期、腹膜内子宫下段稍高部位的横切口剖宫产术是前置胎盘的首选方式,配合宫缩剂、热盐水纱布垫压迫及宫腔内外填塞特制纱布是处理前置胎盘产后出血的有效手段。

Clinical analysis of 32 patients with placenta previa

Objective To investigate the clinical features of placenta previa, treatment and impact on the mother and fetus. Methods Analyzed retrospectively with the clinical data of 32 cases of placenta previa in patients from 2002 to 2009 in our hospital. Results In the 32 cases, there are 4 cases of antepartum haemorrhage accounting for 12.5% ; 11 cases of postpartum hemorrhage accounting for 34. 37% from which no case of removal of the uterus;31 cases of cesarean section accounting for 96. 87% ;10 cases of premature delivery accounting for 31.25% ;2 cases of mild asphyxia and one severe asphyxia in newborn infants which together account for 9. 37%. Conclusion Must attach importance to the risk factors for placenta previa. The selective ,peritoneal higher in parts of lower segment cesarean section of the transverse incision is the preferred way of placenta previa; it is the effective means to reduce post-partum haemorrhage of with contraction agents, heat and saline gauze pad oppression special gauze packing inside and outside the uterine cavity.