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山东大学学报(医学版) ›› 2016, Vol. 54 ›› Issue (9): 1-6.doi: 10.6040/j.issn.1671-7554.0.2016.675

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凶险性前置胎盘诊治现状

左常婷1, 连岩2   

  1. 1. 山东大学附属省立医院妇产科, 山东 济南 250021;2. 山东省妇幼保健院妇产科, 山东 济南 250014
  • 收稿日期:2016-06-06 出版日期:2016-09-10 发布日期:2016-09-10
  • 通讯作者: 左常婷. E-mail:zuochangting@126.com E-mail:zuochangting@126.com
  • 基金资助:
    山东省科技发展计划(2014GSF118088);山东省自然科学基金(ZR2013HM067)

Review on diagnosis and treatment of pernicious placenta previa

ZUO Changting1, LIAN Yan2   

  1. 1. Department of Obstetrics and Gynecology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250021, Shandong, China;
    2. Department of Obstetrics and Gynecology, Shandong Provincial Maternity &
    Childcare Hospital, Jinan 250014, Shandong, China
  • Received:2016-06-06 Online:2016-09-10 Published:2016-09-10

摘要: 凶险性前置胎盘是剖宫产严重的远期并发症。近年随着剖宫产率的升高,凶险性前置胎盘发病日益增多。凶险性前置胎盘及其严重的并发症备受关注。影像学、血清学检测为凶险性前置胎盘的诊断及手术前评估提供了依据。预防性球囊阻断术、膀胱镜检查、多种保守性手术止血、大量输血及自体血回输等多学科综合治疗可有效降低孕产妇及胎儿的死亡率。

关键词: 凶险性前置胎盘, 诊断, 产后出血, 治疗

Abstract: Pernicious placenta previa is a serious complication of cesarean section. With the rate of cesarean section increased in recent years, the incidence of pernicious placenta previa is increasing. Pernicious placenta previa and its severe complications have attracted much attention. Radiological and serological detection provides a basis for clinical 山 东 大 学 学 报 (医 学 版)54卷9期 -左常婷,等.凶险性前置胎盘诊治现状 \=-diagnosis and preoperative assessment of pernicious placenta previa. Prophylactic balloon occlusion, bladder endoscopy, multiple conservative surgery hemostasis, massive transfusion, autologous blood transfusion and other multidisciplinary comprehensive treatment can effectively reduce maternal and fetal mortality.

Key words: Diagnosis, Treatment, Pernicious placenta previa, Postpartum hemorrhage

中图分类号: 

  • R714.4
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