前置胎盘剖宫产产后出血的临床分析

The pretage placenta splits the palace to produce postpartum hemorrhage clinically to analyze

目的：探讨和总结影响前置胎盘剖宫产产后出血危险因素及相应的预防及临床处理方法。方法：对本院2004年9月至2008年10月期间的59例本院患者进行回顾性分析。并观察产后出血量多少与前置胎盘种类、胎盘附着部位等因素的关系。结果：患者中中央性前置胎盘产后出血患者显著多于部分性和边缘性前置胎盘患者；产后出血〉500mL者胎盘面积显著大于出血≤500mL者；胎盘附着于子宫前壁者出血量明显多于附着于后壁及侧壁者；流产次数≥2次者产后出血量明显多于流产次数〈2次者；产后出血量与年龄无关。结论：中央性前置胎盘、胎盘附着于子宫前壁、胎盘面积大、流产次数增加（≥2次）是影响前置胎盘剖宫产产后出血的高危因素。

Objective：The discussion and the summary influence pretage placenta splits the palace to produce the postpartum hemorrhage dangerous factor and the corresponding prevention and the clinical processing method. Methods：From September, 2004 the period 59 example this courtyard patient carries on the review analysis to this courtyard to October,2008. And observes postpartum hemorrhage quantity how many with the pretage placenta type, the placenta adheres to stick cohere factor and so on spot relations. Results：In the patient the central pretage placenta postpartum hemorrhage patient obviously is more than the part and the marginal pretage placenta patient;Postpartum hemorrhage 〉500mL placenta area obviously is bigger than the hemorrhage ≤500mL; The placenta adheres to stick cohere in the womb front board hemorrhage quantity is more than obviously adheres to stick cohere in the behind and the sidewall;The miscarriage number of times ≥2 time postpartum hemorrhage quantity is more than the miscarriage number of times 〈2 time obviously;Postpartum hemorrhage quantity has nothing to do with with the age. Conclusion：The central pretage placenta, the placenta adhere to stick cohere in a big way in the womb front hoard, the placenta area, the miscarriage number of times increase（≥ 2 time）are the influence pretage placenta split the palace to produce postpartum hemorrhage the high--risk factor.