摘要
目的:探讨凶险型前置胎盘围手术期管理对改善母儿妊娠结局的影响。方法:回顾性分析本院2011年45例凶险型前置胎盘患者的临床资料,总结围手术期管理流程。结果:45例患者术前彩色B超、磁共振及术后病理报告证实为凶险型前置胎盘,全部行剖宫产终止妊娠。无新生儿窒息,子宫全切除4例。结论:通过对凶险型前置胎盘患者规范管理,早期明确诊断,合理期待治疗,手术处理预案和实施,产后出血抢救,术后治疗监护,可以改善母婴妊娠结局。
Objective： To approach management of ambioperation for pernicious placenta previa improves the pregnancy outcome. Methods： 45 patients with pernicious placenta previa, delivered in Maternal and Child Health Care Hospital of Shenzhen, in 2011, were analyzed retrospectively. Results： 45 diagnosis for pernicious placenta previa was made by color ultrasonography, magnetic resonance imaging and pathological report after operation. They had C-sect all. It had no neonatal asphyxia, and 4 cases of subtotal hysterectomy. Conclusion： The standardized treatment strategy includes early accurate diagnosis, reasonable expectant therapy, discuss before operation, operation in advance and treatment, perioperative management, postpartum hemorrhage, surveille oost technic. It should improve the maternal and the children termination.
出处
《中国医学创新》
CAS
2012年第18期138-139,共2页
Medical Innovation of China
关键词
凶险型前置胎盘
围手术期
规范管理
Pernicious placenta previa
Perioperative time
Standardized management
