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胎盘和胎膜残留所致晚期产后出血:两例经验

Late postpartum hemorrhage due to placental and fetal membrane residuals: experience of two cases.

作者信息

Luo A, Mao P

出版信息

Clin Exp Obstet Gynecol. 2015;42(1):104-5.

Abstract

PURPOSE

To investigate the cause and preventative measures of late postpartum hemorrhage resulted from placental and fetal membrane residuals.

MATERIALS AND METHODS

Retrospective analysis on 161 cases of late postpartum hemorrhage resulting from residuals of placenta and fetal membrane from 2002 to 2012.

RESULTS

Among the 161 cases, there were 148 cases of vaginal delivery and 13 cases of cesarean section delivery. One hundred twenty-one cases (4.77%) of placental and fetal membrane residuals were present in 2,535 cases of pregnant women with history of abortion; 40 cases (2.01%) of placental and fetal membrane residuals were found in 1,989 cases of pregnant women without history of abortion.

CONCLUSION

Placental and fetal membrane residuals are the major cause of late postpartum hemorrhage. Repeated abortion will increase the incidence of late postpartum hemorrhage resulting from placental and fetal membrane residuals.

摘要

目的

探讨胎盘及胎膜残留所致晚期产后出血的原因及预防措施。

材料与方法

对2002年至2012年161例因胎盘及胎膜残留所致晚期产后出血病例进行回顾性分析。

结果

161例中,阴道分娩148例,剖宫产分娩13例。有流产史的2535例孕妇中,发生胎盘及胎膜残留121例(4.77%);无流产史的1989例孕妇中,发生胎盘及胎膜残留40例(2.01%)。

结论

胎盘及胎膜残留是晚期产后出血的主要原因。反复流产会增加胎盘及胎膜残留所致晚期产后出血的发生率。

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