前置胎盘184例临床分析

CLINICAL ANALYSIS OF 184 CASES OF PLACENTA PREVIA

分析我院近10年间184例前置胎盘的临床资料,发病率为1.12%,初产妇172例.占93.48%;有流产及引产史者占53.26%;28.8%为中央性.25.55%为部分性.45.65%为边缘性。151例有产前出血表现,83例于产前进行积极的期待疗法,直至孕36～37周。101例进行剖宫产术。为减少出血量采用多种止血方法,使平均出血量比报道的低。本组孕产妇无死亡,也无因出血多而行子宫切除者。围产儿死亡7例,占38.46‰。对前置胎盘发生的原因、诊断分类及处理进行了讨论。

The article summarizes 184 cases of placenta previa in our hospital from 1981 to 1991.The incidence is about 1.12%.Primiparas occupied 93.48% of the 172 cases.52.26% of the cases had a history of abortion or unduced labour.Central placenta previa was found in 28.80%,partial in 25.55% and marginal in 45.65% of the cases.One hundred and fiifty—one cases had a bleeding before labour.Eighty—three cases were actively treated until 36—37 weeks of pregnancy.A ce- sarean was performed in 101 cases and a variety methods were adopted to reduce bleeding.There- fore,the average amount of bleeding was less than that reported.No patient died and no hys- terectomy was done for bleeding.Seven perinatal fetuses died(38.46‰).The cause,diagnosis, classification and management of placenta previa are discussed too.