凶险型前置胎盘21例妊娠结局医硕士毕业论文.docVIP

目 录 缩略词表 2 中文摘要 3 Abstract 5 前言 8 材料与方法 9 结 果 11 分析与讨论 12 小 结 15 参考文献 16 致 谢 18 综 述 19 综述参考文献 23 学位论文独创性声明 25 缩略词表 英文缩写 英文全称 中文译名 CSP Cesarean scar pregnancy 剖宫产疤痕妊娠 ICU Intensive Care Unit 重症加强护理病房ernicious Placenta Previa 凶险型前置胎盘oppler flow imaging 彩色多普勒血流成像 UAE Uterine Artery Embolization 双侧子宫动脉栓塞 MRI S-adenosyl-l-methionine 核磁共振 SI Shock Index 休克指数 min Minute 分钟illiliter 毫升 DIC Disseminated Intravascular Coagulation 弥散性血管内凝血 Digital Subtraction Angiography 数字减影血管造影 NICU Neonatal Intensive Care Unit 新生儿重症监护中心 凶险型前置胎盘21例妊娠结局 中文摘要型前置胎盘凶险型前置胎盘结果：）+6天因阴道流血量大于200ML予急诊行剖宫产3例（14.3%）；孕32周至35周+6天孕周不足因阴道流血多，或者胎膜早破、先兆早产、胎儿窘迫等原因行剖宫产8例（38.1%）；期待治疗至孕36周及以上行剖宫产10例（47.6%）。 （2）21例患者剖宫产术中及术后24小时内出血量小于500ml共3例（14.3%）；出血量大于等于500ml小于1000ml共11例（52.4%）；出血量大于等于1000ml小于3000ml共5例（23.4%）；出血量大于等于3000ml共2例（9.5%）。平均出血量1335ml。术中输浓缩红细胞15人，平均输浓缩红细胞7.8U，最多输浓缩红细胞22.5U。在本组21例病例中，使用局部缝扎止血的有18例，占85.7%；使用宫腔填塞6例，占28.6%；使用B-Lynch缝合结扎双侧子宫动脉重症加强护理病房结论：产前诊断一个重要方法产后胎盘滞留、剥离不全为主要表现关键词：B-Lynch缝合The Outcome of Pregnancy of 21 Cases of Pernicious Placenta Previa Abstract Objecfive：The retrospective analysis of the First Affiliated Hospital of Wenzhou Medical College in 21 cases of pernicious placenta previa patients, Etiology of pernicious placenta previa and clinical performance characteristics, and provide evidence for clinical early diagnosis and aggressive treatment of this disease, in order to improve the pernicious placenta previa maternal and neonatal outcome of pregnancy. Methods: A retrospective analysis was performed on 21 cases of dangerous types and characteristics of medical history, the First Affiliated Hospital of Wenzhou Medical College in December 2010 01 months to 2012 of placenta previa patients with clinical manifestations and pathological data, study the clinical treatment measures and its influence on mother and infant. Results: (1) In 21 cases of pernicious placenta previa cesarean section patients were taken to terminate pregnancy.The pregnant 28 weeks +6 days f