中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2009年
8期
8-10
,共3页
胎盘早剥%子宫卒中%妊娠晚期出血
胎盤早剝%子宮卒中%妊娠晚期齣血
태반조박%자궁졸중%임신만기출혈
Placental abruption%Uterine apoplexy%Bleeding in late triemester of pregnancy
目的 探讨胎盘早剥合并子宫卒中的治疗原则与监护措施.方法 回顾性分析本院5年来诊治的胎盘早剥并发子宫卒中53例,结合临床讨论治疗原则与相关措施.结果 ①重型胎盘早剥致重型子宫卒中约占81.81%,引起轻型子宫卒中约占18.18%,两组差异有统计学意义(P<0.01);出现2个以上并发症病例中,重型子宫卒中约占90.91%,轻型子宫卒中约占9.52%,两组差异有统计学意义,P<0.05.②53例胎盘早剥并发子宫卒中均及时终止妊娠并行剖宫产术取出胎儿与胎盘后,经过及时恰当的处理,42例(79.25%)保留子宫;8例(15.09%)发生难于控制的大出血而行子宫次全切除术;4例子宫卒中面积大,经积极处理无效而行子宫切除.结论 胎盘旱剥合并子宫卒中,严重危及母婴生命,应及时终止妊娠,但子宫卒中不是子宫切除手术指征,只要处理及时恰当,多能保留子宫,降低母婴的病死率.
目的 探討胎盤早剝閤併子宮卒中的治療原則與鑑護措施.方法 迴顧性分析本院5年來診治的胎盤早剝併髮子宮卒中53例,結閤臨床討論治療原則與相關措施.結果 ①重型胎盤早剝緻重型子宮卒中約佔81.81%,引起輕型子宮卒中約佔18.18%,兩組差異有統計學意義(P<0.01);齣現2箇以上併髮癥病例中,重型子宮卒中約佔90.91%,輕型子宮卒中約佔9.52%,兩組差異有統計學意義,P<0.05.②53例胎盤早剝併髮子宮卒中均及時終止妊娠併行剖宮產術取齣胎兒與胎盤後,經過及時恰噹的處理,42例(79.25%)保留子宮;8例(15.09%)髮生難于控製的大齣血而行子宮次全切除術;4例子宮卒中麵積大,經積極處理無效而行子宮切除.結論 胎盤旱剝閤併子宮卒中,嚴重危及母嬰生命,應及時終止妊娠,但子宮卒中不是子宮切除手術指徵,隻要處理及時恰噹,多能保留子宮,降低母嬰的病死率.
목적 탐토태반조박합병자궁졸중적치료원칙여감호조시.방법 회고성분석본원5년래진치적태반조박병발자궁졸중53례,결합림상토론치료원칙여상관조시.결과 ①중형태반조박치중형자궁졸중약점81.81%,인기경형자궁졸중약점18.18%,량조차이유통계학의의(P<0.01);출현2개이상병발증병례중,중형자궁졸중약점90.91%,경형자궁졸중약점9.52%,량조차이유통계학의의,P<0.05.②53례태반조박병발자궁졸중균급시종지임신병행부궁산술취출태인여태반후,경과급시흡당적처리,42례(79.25%)보류자궁;8례(15.09%)발생난우공제적대출혈이행자궁차전절제술;4례자궁졸중면적대,경적겁처리무효이행자궁절제.결론 태반한박합병자궁졸중,엄중위급모영생명,응급시종지임신,단자궁졸중불시자궁절제수술지정,지요처리급시흡당,다능보류자궁,강저모영적병사솔.
Objective To explore the principle of treatment and monitoring of uterine apoplexy induced by placental abruption. Methods Fifty - three cases of uterine apoplexy with placental abruption in our hospital in the recent 5 years were analyzed retrospectively. Explored the treatment principle and the corresponding measures relating clinic. Results Among 53 cases of placental abruption with uterine apo-plexy which had cesarean section to make the pregnancy to the end timely and took the fetus and placental out,after handling timely and properly,42 cases retained the uterus,7 cases had subtotal hysterectomy be-cause of hematorrhea difficult to control ,4 cases had total hysterectomy because of big area of uterine apo-plexy and being effectually handled. Conclusions Placental abruption with uterine apoplexy are badly dangerous to the lives of mother and infant. The pregnancy should be made to the end timely. But uterine apoplexy is not the indication of subtotal hysterectomy. Most uterus can be retained and the incidences of the death of morther and infant can be decreased when being handled timely and properly.
