植入胎盘是潜伏的高危妊娠,产前、产时不易确诊,一旦发病可导致高危分娩。近年来我科在剖宫产手术中发现部分性植入胎盘4例,徒手剥离后严重出血,现报告如下:1 临床资料例1:29岁,孕3产1,人流2次,妊周37~(+5),头先露。因重度妊娠高血压综合症行子宫下段剖宫产。手剥胎盘。胎盘着床于宫体前壁,剥离不困难。术中宫缩欠佳失血800~+ml。回病房后继续输血,静脉滴注催产 Implantation of the placenta is potentially dangerous pregnancy, prenatal, intrapartum is not easy to diagnose, once the disease can lead to high-risk delivery. In recent years, our department found partial placenta accreta in cesarean section in 4 cases, severe bleeding after hand stripping, are reported as follows: 1 clinical data of 1: 29 years old, 3 pregnant and 1, abortion 2, pregnancy 37 ~ (+5), first dew. Due to severe pregnancy-induced hypertension syndrome uterine cesarean section. Hands stripping the placenta. Placenta implantation in the anterior wall of the Palace, stripping is not difficult. Intraoperative contractions poor blood loss of 800 ~ + ml. Back to the ward after the blood transfusion, intravenous drip oxytocin