CAJ | 학술논문

目的探讨凶险型前置胎盘的临床特点和该病对孕妇、胎儿所造成的生命威胁,提高人们对该疾病的认识,尽量避免该疾病的发生.方法对我院2013年1月至2014年12月的67例凶险型前置胎盘孕妇(A组)的临床资料进行分析,并将其与同期的120例普通型前置胎盘孕妇(B组)对比.结果 A组孕妇术中出血量为(2045.1±451.3) ml,产后24h出血量为(2632.4±431.8) ml,子宫切除率为22.39％,胎盘植入率达到28.36％,与B组孕妇比较差异具有统计学意义(P＜0.05),另外,A组孕妇的早产率、新生儿窒息率和新生儿病死率均高于B组孕妇,两组比较差异具有统计学意义(P＜0.05).结论凶险型前置胎盘对患者及胎儿的生命健康都造成极大的危害,尤其是胎盘植入合并前置胎盘,因此要提高警惕,降低剖宫产术率,以降低前置胎盘的发生率,并做好围手术期的处理和产后出血抢救.
목적 탐토흉험형전치태반적림상특점화해병대잉부、태인소조성적생명위협,제고인문대해질병적인식,진량피면해질병적발생.방법 대아원2013년1월지2014년12월적67례흉험형전치태반잉부(A조)적림상자료진행분석,병장기여동기적120례보통형전치태반잉부(B조)대비.결과 A조잉부술중출혈량위(2045.1±451.3) ml,산후24h출혈량위(2632.4±431.8) ml,자궁절제솔위22.39％,태반식입솔체도28.36％,여B조잉부비교차이구유통계학의의(P＜0.05),령외,A조잉부적조산솔、신생인질식솔화신생인병사솔균고우B조잉부,량조비교차이구유통계학의의(P＜0.05).결론 흉험형전치태반대환자급태인적생명건강도조성겁대적위해,우기시태반식입합병전치태반,인차요제고경척,강저부궁산술솔,이강저전치태반적발생솔,병주호위수술기적처리화산후출혈창구.
Objective To explore the clinical characteristics of pernicious placenta previa and its threat to pregnant women to improve the public's awareness and help them avoid the occurrence of the disease.Methods The clinical data of 67 pregnant women with pernicious placenta praevia (group A) admitted into our hospital from January,2013 to December,2014 was analyzed and were compared with those 120 pregnant women with normal placenta previa from the same period (group B).Results The bleeding volume during operation was (2045.1±451.3) ml,and 24 h postpartum (2632.4 ±431.8) ml,the uterine resection rate was 22.39％,and the placenta implantation rate was 28.36％ in group A,which were statistically different from those in group B(P＜0.05).The premature delivery rate,the rate of neonatal neonatal asphyxia,and the mortality were higher in group A than in group B,with statistical differences (P＜0.05).Conclusions Pernicious placenta praevia,especially that complicated with placenta accrete,can cause great harm to patients' health,lives,and fetus.Therefore,cesarean section rate must be reduce to lower the incidence of placenta praevia,good arrangement made in perioperative period,and postpartum hemorrhage rescue prepared.