中华产科急救电子杂志
中華產科急救電子雜誌
중화산과급구전자잡지
Chinese Journal of Obstetric Emergency
2015年
2期
77-80
,共4页
中央性前置胎盘状态%妊娠中期%引产%栓塞,治疗性
中央性前置胎盤狀態%妊娠中期%引產%栓塞,治療性
중앙성전치태반상태%임신중기%인산%전새,치료성
Central placenta previa state%Pregnancy trimester,second%Labor,induced%Embolization,therapeutic
孕中期中央性前置胎盘状态引产过去一直作为阴道分娩的绝对禁忌证，现在随着中央性前置胎盘状态临床诊治经验的积累，对有医学指征或要求引产的孕中期中央性前置胎盘状态患者，可选择药物引产、减胎后引产、子宫动脉栓塞辅助下引产和剖宫产等终止妊娠方式。每种引产方式均有产后出血、引产失败（剖宫产除外）等风险，在引产过程中均需严密观察、做好输血、输液及急诊手术的准备，尽可能提高引产成功率和减少并发症的发生。
孕中期中央性前置胎盤狀態引產過去一直作為陰道分娩的絕對禁忌證，現在隨著中央性前置胎盤狀態臨床診治經驗的積纍，對有醫學指徵或要求引產的孕中期中央性前置胎盤狀態患者，可選擇藥物引產、減胎後引產、子宮動脈栓塞輔助下引產和剖宮產等終止妊娠方式。每種引產方式均有產後齣血、引產失敗（剖宮產除外）等風險，在引產過程中均需嚴密觀察、做好輸血、輸液及急診手術的準備，儘可能提高引產成功率和減少併髮癥的髮生。
잉중기중앙성전치태반상태인산과거일직작위음도분면적절대금기증，현재수착중앙성전치태반상태림상진치경험적적루，대유의학지정혹요구인산적잉중기중앙성전치태반상태환자，가선택약물인산、감태후인산、자궁동맥전새보조하인산화부궁산등종지임신방식。매충인산방식균유산후출혈、인산실패（부궁산제외）등풍험，재인산과정중균수엄밀관찰、주호수혈、수액급급진수술적준비，진가능제고인산성공솔화감소병발증적발생。
In the past, central placenta previa was an absolute contraindication of vaginal delivery . With clinical experience of diagnosis and treatment accumulated , patients with central placenta previa , who induced labored due to medical indication or wishing , could choose several methods of pregnancy termination, such as drug induced labour , induced labour after fetal reduction , uterine arterial embolization-assisted induced labour, caesarean section, and so on.All methods had the risks of postpartum hemorrhage, failure of induced labour (except for caesarean section), and so on.To improve success rate of induced labour and decrease incidence rate of complications , patients should be closely monitored , be prepared blood transfusion and emergency operation during inducted labour .
