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本文对住院前置胎盘的产妇进行回顾性分析,并就其发生原因、监护及处理问题进行讨论。前置胎盘40例,占住院产妇1352例的2.96%,围产儿死亡7例,占0.52%。其发生的原因主要是生育过多过密,产褥感染,多次宫腔手术操作等。处理的原则是及时止血、补充血容量,必要时终止妊娠。具体措施是对孕龄≥37周者,估计胎儿能存活、或中央型前置胎盘,即行剖宫产术;对低置胎盘或经产妇的部分前置胎盘,产妇情况好,出血量少,子宫口已扩张,或胎儿已死,则行阴道助产以结束分娩。
This article retrospectively analyzed the maternal pre-placental inpatients and discussed the reasons for their occurrence, custody and treatment. 40 cases of placenta previa, accounting for 2.96% of 1352 cases of hospitalized women, perinatal death in 7 cases, accounting for 0.52%. The main reason for its occurrence is excessive fertility, puerperal infection, multiple uterine surgery operations. The principle of treatment is timely hemostasis, blood volume, if necessary, terminate the pregnancy. Specific measures for gestational age ≥ 37 weeks were estimated that the fetus can survive, or the central placenta previa, that line cesarean section; on the low placenta or part of the maternal placenta previa, maternal conditions, less bleeding, The cervix has been expanded, or the fetus is dead, the line vaginal delivery to end childbirth.