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目的探讨前置胎盘患者的病因、诊治方法及妊娠结局。方法回顾性分析凤山县人民医院2005年5月至2011年10月收治的59例前置胎盘患者的临床资料。结果本研究59例产妇中初产妇19例,经产妇40例,其中有剖宫产史7例,有人工流产史20例;入院前有反复阴道出血39例;行剖宫产53例;早产儿13例,围生儿死亡3例。结论应严密关注前置胎盘的高危因素,对妊娠不足36周者,可在确保母儿安全的前提下给予期待治疗,但要严密观察病情变化,已达36周患者应适时终止妊娠。
Objective To investigate the cause of placenta previa, diagnosis and treatment methods and pregnancy outcome. Methods The clinical data of 59 cases of placenta previa admitted to Fengshan County People’s Hospital from May 2005 to October 2011 were retrospectively analyzed. Results In this study, 59 cases of primipara in maternal and maternal 40 cases, including 7 cases of cesarean section, 20 cases of induced abortion; 39 cases of recurrent vaginal bleeding before admission; 53 cases of cesarean section; preterm birth 13 cases of children, perinatal death in 3 cases. Conclusions Should pay close attention to the risk factors of placenta previa, 36 weeks of pregnancy who can be expected to be treated under the premise of ensuring the safety of mother and child, but to closely observe the condition changes, patients who have reached 36 weeks should be terminated in due course of pregnancy.