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腹主动脉球囊阻断术在伴穿透性凶险性前置胎盘剖宫产中的应用分析 被引量:1

Analysis of abdominal aortic balloon block in cesarean delivery with penetrating fulminant placenta praevia
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摘要 目的:探讨腹主动脉球囊阻断术在伴穿透性凶险性前置胎盘(PPP)剖宫产中的应用效果。方法:回顾性分析本院2019年5月至2020年12月104例伴穿透性PPP剖宫产孕妇,根据术前是否行腹主动脉球囊阻断术,将行腹主动脉球囊阻断术者纳入A组(n=53)、未行腹主动脉球囊阻断术者纳入B组(n=51),比较两组出血和输血情况,手术前后产妇血红蛋白(Hb)与红细胞压积(HCT)降低值、子宫切除率、产妇并发症发生情况以及新生儿情况。结果:A组术中出血量、输血量少于B组(P<0.05);A组术后24 h时Hb、HCT水平较术前下降值小于B组(P<0.05);A组子宫切除率低于B组(P<0.05);两组术后并发症发生率比较,差异无统计学意义(P>0.05);两组新生儿Apgar评分、脐动脉血pH值比较,差异无统计学意义(P>0.05)。结论:腹主动脉球囊阻断术可显著减少穿透性PPP患者剖宫产出血量,降低子宫切除率,具有较高的临床应用价值。
作者 尹麟基 YIN Linji
机构地区 商城县人民医院
出处 《甘肃医药》 2023年第7期619-621,共3页 Gansu Medical Journal
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