前置胎盘132例回顾性分析

The retrospectively analysis of 132 cases of placenta previa

目的探讨前置胎留的类型、产前及产后出血状况与新生儿预后的关系。方法将132例前置胎盘分为轻度组(71例)及重度组(61例),进行回顾性分析。结果重度组初次出血孕周及确诊孕周均明显小于轻度组(P<0.05),产前出血率、产后出血率、输血率及新生儿体重、Apgar评分小于7分,均与轻度组差异有显著性(P<0.05)。结论妊娠结局与前置胎盘的类型有关,中央型及部分型前置胎盘因临床症状较重,其产后出血发生率较高,新生儿预后较差。

Objective：To investigate the front left tire type,prenatal and postpartum hemorrhage,and the relationship with neonatal prognosis. Methods：All 132 cases of placenta previa were divided into the mild group（71 cases）and the se-vere group（61 case）. The clinical data were retrospectively analyzed. Results：The initial bleeding diagnosed gestational age and gestational age of severe group were significantly lower than that of the mild group. The prenatal bleeding,postpar-tum bleeding,blood transfusion rate and birth weight,Apgar score less than 7 points in the server group were significantly （p ﹤ 0. 05）different from that of the mild group. Conclusions：Pregnancy outcomes related to the type of placenta previa. There were severe clinical symptoms for the central and parts of placenta previa,furthermore,they had high incidence of postpartum hemorrhage and poor neonatal prognosis.