46例胎盘因素所致产后出血的临床分析

发布时间：2018-03-06 02:17

  本文选题：胎盘因素　切入点：产后出血　出处：《中国妇幼保健》2016年05期 　论文类型：期刊论文

【摘要】：目的探讨胎盘因素所致产后出血的原因及有效防治措施。方法对46例胎盘因素所致产后出血的病例资料进行回顾性分析。结果 46例胎盘因素所致产后出血的情况主要表现在胎盘嵌顿、胎盘剥离不全、胎盘粘连、前置胎盘、胎盘植入等,其中多产史3例,人工流产史9例,剖宫产史16例,肌瘤剔除史5例,高龄产妇(≥35岁)7例。46例患者均首选宫缩剂止血,在药物治疗的基础上仍大出血者联合多种"二线"技术,41例救治成功,5例药物联合多种"二线"技术仍出血不止行子宫切除术。均救治成功,无1例死亡。结论近年来胎盘因素所致产后出血比例越来越高,药物和多种治疗技术联合应用治疗产后出血有效。产后出血重在预防,降低人工流产率及剖宫产率、尽量减少和预防胎盘因素势在必行。
[Abstract]:Objective to investigate the causes and effective prevention and treatment of postpartum hemorrhage caused by placental factors. Methods the data of 46 cases of postpartum hemorrhage caused by placental factors were retrospectively analyzed. Results 46 cases of postpartum hemorrhage caused by placenta factors were analyzed retrospectively. The main manifestation of the situation is placental incarceration. Placental dissection, placental adhesions, placenta previa, placenta accreta, etc. Among them, 3 cases had a history of multiple births, 9 cases had a history of induced abortion, 16 cases had a history of cesarean section, 5 cases had a history of myoma removal. On the basis of drug therapy, 41 cases of patients with massive bleeding and 41 cases of successful treatment with multiple "second line" technique were treated successfully. 5 cases were still bleeding in combination with multiple "second line" technique. All of them were cured successfully. Conclusion the proportion of postpartum hemorrhage caused by placental factors is increasing in recent years. The combination of drugs and treatment techniques is effective in the treatment of postpartum hemorrhage. The focus of postpartum hemorrhage is to prevent, reduce the rate of induced abortion and cesarean section. It is imperative to reduce and prevent placental factors as far as possible.
【作者单位】： 朝阳市中心医院妇产科;
【分类号】：R714.461
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本文编号：1572904