胎盘植入55例原因分析与护理

Cause analysis and nursing of 55 cases of placenta implantation

目的探讨胎盘植入的原因、治疗效果及护理。方法对55例胎盘植入患者进行回顾性分析。结果 48例行保守治疗,3例因穿透性胎盘大出血行子宫次全切除术,4例因保守治疗效果不佳,经宫腔填塞纱条仍出血不止行子宫次全切除术,治愈率100%。结论胎盘植入的发生与胎盘的位置异常、人工流产手术、剖宫产手术有关。护理方面要加强产前评估,重视高危因素,密切观察病情变化,随时做好抢救准备。尤其是要重视孕产妇的心理护理,加强健康教育。

Objective To investigate the causes, curative effect and nursing of placenta implantation. Methods Fifty-five patients with placenta implantation were analyzed retrospectively. Results Forty-eight patients received conservative treatment, three patients received uterine subtotal resection due to penetrating placental bleeding, and four patients received uterine subtotal resection due to poor efficacy of conservative treatment and continuous bleeding after intrauterine ribbon gauze packing, with the cure rate of 100%. Conclusion The occurrence of placenta implantation relates to the dislocated placenta, induced abortion and cesarean section. In terms of nursing, prenatal evaluation should be strengthened, high risk factors should be emphasized, changes of patient condition should be observed closely, and rescue preparation should be in position. Psychological nursing of pregnant women should be emphasized and health education should be strengthened.