Acta Metallurgica Sinica

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Expectant management on pernicious placenta previa.

GE Zhi-ping,SUN Li-zhou,XU Hao-qin.   

  1. Department of Gynecology and Obstetrics, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029,China
  • Online:2014-12-02 Published:2015-01-04

凶险型前置胎盘期待治疗

葛志平孙丽洲许豪勤   

  1. 作者单位:南京医科大学第一附属医院 江苏省人民医院,江苏 南京 210029
  • 通讯作者: 孙丽洲
  • 基金资助:

    国家临床重点专科建设项目[国卫办医函2013(544) ];江苏省优生优育公共服务平台网络建设项目(BM2013058)

Abstract:

Abstract:With the increasing clinical cesarean section rate, the incidences of pernicious placenta previa were also significantly increased. According to the advances of clinical diagnosis and treatment of pernicious placenta previa, it was suggested expectant management be used for small gestational age, fetal immaturity and no-bleeding or slight vaginal bleeding pregnant women,including inhibition of uterine contractions,promotion of fetal lung maturity, prevention and treatment of anemia, strengthening fetal monitoring, prolonging gestational weeks and elective delivery by caesarean section,in order to improve the fetal and maternal prognosis.

Key words: pernicious placenta previa, expectant management

摘要:

随着临床剖宫产率的升高,凶险型前置胎盘的发生率亦明显增高。就目前国内外临床诊疗进展,建议对于孕周较小,胎儿发育不成熟,一般情况稳定的凶险型前置胎盘孕妇行期待治疗,其中包括抑制宫缩,促胎肺成熟,纠正贫血,加强胎儿宫内检测,适当延长孕周,择期剖宫产终止妊娠,改善母儿预后。

关键词: 凶险型前置胎盘, 期待治疗

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