【摘要】 本文分析了北京市复兴医院1975年1月～1987年4月132例胎盘早剥病例,发病率0.67%。胎盘早剥是妊娠晚期严重并发症。应警惕附着子宫后壁和剥离面小的病例。目前由于多为初产妇产程进展慢故剖宫产为其主要分娩方式,甚至死胎病例,若分娩不能迅速结束剖宫产也是必须的,以避免发展为严重子宫卒中和 DIC 而切除子宫。子宫卒中病例中若宫缩不良而催产素又无效时,可用1号肠线缝合卒中区域浆肌层数个大8字而止血,保留子宫和生育能力。更多还原

【Abstract】 Abruptio placenta is one of the serious complications in the third stage of preg-nancy.Analysis of 132 abruptio placenta cases from January 1975 to April 1987 ofBeijing Fuxing Hospital was made.The incidence was 0.67%.Alertness was empha-sized for placentae attached to the posterior wall of the uterus and those with smallabruptio areas.Cesarean section has been one of the main modes of delivery forabruptio placenta cases because most patients were primiparae and their courses oflabor long.Even if the fetus would die in the uterus,if the delivery could not befinished immediately,Cesarean section should be done to avoid removing the uterusowing to serious uterine apoplexy and blood coagulative dysfuction. In case of uterine apoplexy,if the uterine contraction was poor and oxytocinadministration ineffective,several big figure-of-eight sutures from serosa to myome-trium with catgut No.1.Could be made for hemostasis and reserving the uterus andthus the fertile function.更多还原