CAJ | 학술논문

目的探讨前置胎盘剖宫产术术中出血的相关因素及适宜的临床处理方法.方法回顾性分析我院2007年5月~2012年5月行剖宫产的前置胎盘患者80例，观察术中出血量多少与前置胎盘种类、胎盘附着部位、流产次数、剖宫产史及孕妇年龄等因素与充分的术前准备的关系.结果中央型前置胎盘者出血量显著多于部分型和边缘型前置胎盘(р<0.01)；有剖宫产史者出血量显著多于无剖宫产史者(р<0.01；胎盘附着部位、流产次数、年龄等因素与出血量无明显相关(р>0.05).结论中央型前置胎盘及剖宫产史是前置胎盘剖宫产术出血的高危因素，术前的充分准备尤其重要.
목적탐토전치태반부궁산술술중출혈적상관인소급괄의적림상처리방법.방법회고성분석아원2007년5월~2012년5월행부궁산적전치태반환자80례，관찰술중출혈량다소여전치태반충류、태반부착부위、유산차수、부궁산사급잉부년령등인소여충분적술전준비적관계.결과중앙형전치태반자출혈량현저다우부분형화변연형전치태반(р<0.01)；유부궁산사자출혈량현저다우무부궁산사자(р<0.01；태반부착부위、유산차수、년령등인소여출혈량무명현상관(р>0.05).결론중앙형전치태반급부궁산사시전치태반부궁산술출혈적고위인소，술전적충분준비우기중요.
the purpose inquire into ex- place a placenta Caesarean section of bleed in the Shu Shu of related factor and feat clinical treatment.The method review analyzes my hospital May, 2007-go a Caesarean section in May, 2012 of ex-place placenta sufferer's 80, observe to bleed quantity in the Shu how much with ex- place placenta category, placenta to adhere to part and have a miscarriage number of times, the Caesarean section factors, such as history and pregnant woman age...etc. with full of prepare before the Shu of relation.The issue of blood quantity that the result is central to place a placenta before the type's showing Zhao is more than the parts of type and the edge to place placenta before the type;(р< 0.01)Have a Caesarean section history issue of blood quantity's showing Zhao is more than have no Caesarean section history(р <0.01;The placenta adheres to part and has a miscarriage factors, such as number of times and age...etc. and issue of blood quantity to have no obviously related.(р >0.05)The history that the conclusion is central and places placenta and Caesarean section before the type is the high Wei factor that the Shu that is ex- and places a placenta Caesarean section bleeds, before the Shu of full prepare to be particularly important.