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完全性前置胎盘出血早且量多,常发生在妊娠28周左右,并可危及母婴安全,我院遇到3例阴道大出血均发生在妊娠38周以后。 例1:31岁,因孕2产1,38周宫内妊娠,臀位入院待产。患者于妊娠28周有一次阴道出血,量约2ml。以后一直无出血。体查:血压13.3/9.33kPa,左骶前位,胎心140次。血红蛋白100g/L。入院第1天,突然出现无痛性阴道出血。量约120ml。经对症处理后出血停止。第2天出血约700ml。血压下降至8/5.33kPa。血红蛋白50g/L,B超报告为完全性前置胎盘,立即行剖宫产术。
Complete early placental hemorrhage and early volume, often occurs in 28 weeks of pregnancy, and can endanger the safety of mothers and children, our hospital encountered three cases of vaginal bleeding occurred in 38 weeks after pregnancy. Example 1: 31 years old, 2, 3 weeks pregnant uterine pregnancy, breech admission to be produced. Patients with vaginal bleeding in 28 weeks of pregnancy, the amount of about 2ml. No bleeding after all the time. Physical examination: blood pressure 13.3 / 9.33kPa, left anterior sacral, fetal heart rate 140 times. Hemoglobin 100g / L. The first day of admission, a sudden painless vaginal bleeding. About 120ml. After symptomatic treatment of bleeding stopped. Day 2 bleeding about 700ml. Blood pressure dropped to 8 / 5.33kPa. Hemoglobin 50g / L, B-report of complete placenta previa, cesarean section immediately.