CAJ | 학술논문

目的：对1例孕中期引产后胎盘粘连植入患者的病例进行分析，探讨孕中期引产后胎盘粘连植入的诊治方法。方法：选取2013年4月我院收治的1例孕中期引产后发生胎盘粘连植入的患者作为研究对象，对其病例及临床资料进行回顾性的分析。结果：手术成功，患者的阴道出血约为200毫升。术后，剖开标本可见胎盘附着于子宫前壁、宫底及右侧宫角处，对其进行剥离可见胎盘粘连致密，并存在约4×3厘米大小的胎盘植入。将切除物送至实验室进行病理检查，检查结果证实为胎盘植入，符合术前诊断的结论。将患者安全送回病房，为其进行抗炎治疗及补血治疗。连续治疗5天后，患者痊愈出院。结论：若胎盘在产后的20分钟内不能自然娩出，医护人员应在b超检查下对产妇进行明确的诊断，并及时为其进行手术治疗，以减少其阴道出血量，挽救其生命。
목적：대1례잉중기인산후태반점련식입환자적병례진행분석，탐토잉중기인산후태반점련식입적진치방법。방법：선취2013년4월아원수치적1례잉중기인산후발생태반점련식입적환자작위연구대상，대기병례급림상자료진행회고성적분석。결과：수술성공，환자적음도출혈약위200호승。술후，부개표본가견태반부착우자궁전벽、궁저급우측궁각처，대기진행박리가견태반점련치밀，병존재약4×3전미대소적태반식입。장절제물송지실험실진행병리검사，검사결과증실위태반식입，부합술전진단적결론。장환자안전송회병방，위기진행항염치료급보혈치료。련속치료5천후，환자전유출원。결론：약태반재산후적20분종내불능자연면출，의호인원응재b초검사하대산부진행명학적진단，병급시위기진행수술치료，이감소기음도출혈량，만구기생명。
objective:to study the induced labor in the clinical diagnosis and treatment of placenta adhesion after implantation methods. Methods:a retrospective analysis of 1 case of placenta adhesion after induced labor in patients implanted materials,summarizes the clinical diagnosis and treatment.Results:the operation smoothly,hemorrhage of about 200 ml. After removal of objects to send pathology,pathogenesis,returns to the placenta implants,conform to the preoperative diagnosis. Postoperative safety back to the ward,anti-inflammatory,blood treatment for five days,continue to heal discharged from hospital.Conclusion:after 20 minutes,the placenta can't natural childbirth,the doctor on duty for instructions superior leadership in time,cooperate with b to exceed check,for a definitive diagnosis,timely surgery for enough time,reduce the blood loss and save the patients life.