CAJ | 학술논문

目的：探讨前置胎盘剖宫产产后出血的影响原因。方法前置胎盘剖宫产产后出血的40例患者作为研究对象，分析导致产后出血的原因。结果中央型前置胎盘患者的出血量明显多于其他两种类型，有胎盘植入或粘连、有剖宫产史的患者出血量明显多于无胎盘植入或粘连和剖宫产史产妇，相比差异具有统计学意义(P<0.05)；出血量与孕产妇年龄、胎盘附着部位、产妇流产频率无关。结论针对中央型前置胎盘，在产妇实施剖宫产手术时，需借助彩超对胎盘定位，确认子宫切口，从而确保手术的安全和新生儿的顺畅出生。
목적：탐토전치태반부궁산산후출혈적영향원인。방법전치태반부궁산산후출혈적40례환자작위연구대상，분석도치산후출혈적원인。결과중앙형전치태반환자적출혈량명현다우기타량충류형，유태반식입혹점련、유부궁산사적환자출혈량명현다우무태반식입혹점련화부궁산사산부，상비차이구유통계학의의(P<0.05)；출혈량여잉산부년령、태반부착부위、산부유산빈솔무관。결론침대중앙형전치태반，재산부실시부궁산수술시，수차조채초대태반정위，학인자궁절구，종이학보수술적안전화신생인적순창출생。
Objective To investigate the influence reasons of postpartum hemorrhage after placenta previa caesarean section. Methods There were 40 patients with postpartum hemorrhage after placenta previa caesarean section as the study subjects. Their causes of postpartum hemorrhage were analyzed. Results Patients with central placenta previa had larger bleeding volume than the other two types, and patients with history of placenta implantation, adhesion, and caesarean section had larger bleeding volume than patients without these history. The difference had statistical significance (P<0.05). Bleeding volume had no relationship with age, placenta adherent parts, and abortion frequency of pregnant women. Conclusion For central placenta previa in caesarean section, color Doppler ultrasound should be applied to positioning placenta and confirming uterine incision, so as to guarantee surgical and fetal safety.