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前置胎盘阴道流血与宫缩的关系81例分析 被引量:54

The Clinical Study of Relation Between Uterine Contraction and Vaginal Bleeding Caused by Placenta Previa
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摘要 目的 :评价前置胎盘阴道流血与子宫收缩的关系 ,以及抑制子宫收缩在前置胎盘期待疗法中的作用。方法 :对 81例入院诊断为前置胎盘或胎盘前置状态的病例监测其宫缩、阴道流血情况 ,给予硫酸镁加 (或 )舒喘灵或羟苄羟麻黄碱 (安宝 )抑制宫缩。结果 :前置胎盘阴道流血者 70 .80 %伴有不同程度宫缩 ,抑制宫缩治疗前置胎盘阴道流血有效率达 96 .5 % ,平均延长孕周 2 6 8天 ,新生儿平均体重 2 977 4g。结论 :前置胎盘或胎盘前置状态阴道流血与宫缩关系密切。抑制宫缩对治疗前置胎盘阴道流血有重要意义 。 Objective:To evaluate the relation between contraction and vaginal bleeding caused by placeta previa,as well as the therapeutical effect of tocolysis in the expecting treatment of placenta previa.Methods: 81 cases of placenta previa diagnosed at admission and contraction were monitored and vaginal bleeding were estimated.All patients were given tocolysis,either magnesium sulfate and (or) salbutamol or ritrodine.Results: Most patients 70.80% who had vaginal bleeding caused by placenta previa had contraction of different degree.The treatment with tocolysis were effective in 96.5% of all the cases with vaginal bleeding,and prolonged pregnancy by 26.8 days averagely.The average birth weight was 2977.4 grams.Conclusions: Vaginal bleeding caused by placenta previa is with close relation with contraction.Tocolysis is important in controlling vaginal bleeding,prolonging duration of pregnancy and lowering neonatal mortality in such cases.
出处 《实用妇产科杂志》 CAS CSCD 北大核心 2003年第1期35-36,共2页 Journal of Practical Obstetrics and Gynecology
关键词 前置胎盘 阴道流血 子宫收缩 期待疗法 诊断 Placenta Praevia Vaginal bleeding Contraction
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