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凶险性前置胎盘临床分析

Clinical Analysis of Pernicious Placenta Previa

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目的:了解凶险性前置胎盘的临床特点。方法:回顾性分析我院分娩的凶险性前置胎盘25例。结果:患者平均年龄32.8岁(SD3.4)。既往剖宫产与本次妊娠平均间隔时间5.4年(SD2.9)。胎盘植入14例(56.0%),产后出血20例(80.0%),子宫切除11例(44.0%)。平均分娩孕周为35.6周(SD2.8)。平均出血量为2.6L(SD4.0)。所有患者均存活。1例新生儿死亡。结论:凶险性前置胎盘高度怀疑合并胎盘植入,术前需充分准备,积极处理,必要时行子宫切除术。
Objective:To analysis clinical features of pernicious placenta previa.Methods:We retrospectively analyzed 25cases of pernicious placenta previa who dilveried in our hospital.Results:The average age is 32.8 years (SD3.4). Mean time between previous cesarean section and pregnancy was 5.4(SD2.9) years.Placenta accreta 14cases(56.0%), postpartum hemorrhage 20cases(80.0%),hysterectomy 11cases(44.0%).An average of 35.6 weeks gestational age at delivery (SD2.8).The average blood loss was 2.6(SD4.0) L.Al women survived.One fetal death.Conclusion:Pernicious placenta previa highly suspected placenta increta,should be ful y prepared before cesarean, active treatment,made a hysterectomy if necessary.

Pernicious Placenta Previapostpartum hemorrhageplacenta increta

陈汉青、邹粟花、杨建波

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中山大学附属第一医院妇产科 广东 广州 510080

凶险性前置胎盘 产后出血 胎盘植入

2013

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2013.(9)
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