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class="article-report" data-cid="9" data-id="106411" data-url="http://partipilodeckandfence.com/article/202309/106411.html" target="_self">投訴/報(bào)錯(cuò)</a> </div> </p> <div id="odgpepv" class="reportbox" id="reportbox-106411"></div> <div id="d3tum2z" class="newstext"> <p>胎盤早剝?cè)趺粗委?，重型胎盤早剝需要做DIC篩選和纖溶確診試驗(yàn)，因?yàn)榇税Y很可能出現(xiàn)并發(fā)癥。</p><p style="text-align: center;"><img src="https://img.lm263.com/2023-01/32053618306561.jpg" alt="胎盤早剝?cè)趺粗委? /> </p><p>胎盤早剝面積不斷加大極易引發(fā)難以止住的大出血情況而危及產(chǎn)婦生命，胎盤早剝?cè)趺粗委?<b>胎盤早剝嚴(yán)重嗎</b>?一起和吱客網(wǎng)看看吧。</p><h2>胎盤早剝西醫(yī)治療方法</h2><p>1、糾正休克患者入院時(shí)，情況危重、處于休克狀態(tài)者，應(yīng)積極補(bǔ)充血容量，糾正休克，盡快改善患者狀況。輸血必須及時(shí)，盡量輸新鮮血，既能補(bǔ)充血容量，又可補(bǔ)充凝血因子。</p><p>2、及時(shí)終止妊娠胎盤早剝危及母兒的生命安全。母兒的預(yù)后與處理是否及時(shí)有密切關(guān)系。胎兒未娩出前，胎盤可能繼續(xù)剝離，難以控制出血，持續(xù)時(shí)間越長(zhǎng)，病情越嚴(yán)重，并發(fā)凝血功能障礙等合并癥的可能性也越大。因此，一旦確診，必須及時(shí)終止妊娠。終止妊娠的方法根據(jù)胎次、早剝的嚴(yán)重程度，胎兒宮內(nèi)狀況及宮口開(kāi)大等情況而定。</p><h2>(1) 經(jīng)陰道分娩：</h2><p>經(jīng)產(chǎn)婦一般情況較好，出血以顯性為主，宮口已開(kāi)大，估計(jì)短時(shí)間內(nèi)能迅速分娩者，可經(jīng)陰道分娩，先行破膜，使羊水緩慢流出，縮減子宮容積。破膜后用腹帶包裹腹部，壓迫胎盤使之不再繼續(xù)剝離，并可促進(jìn)子宮收縮，必要時(shí)配合靜脈滴注催產(chǎn)素縮短產(chǎn)程。分娩過(guò)程中，密切觀察患者的血壓、脈搏、宮底高度、宮縮情況及胎心等的變化。有條件者可用胎兒電子監(jiān)測(cè)儀進(jìn)行監(jiān)護(hù)，更能早期發(fā)現(xiàn)宮縮及胎心的異常情況。</p><h2>(2) 剖宮產(chǎn)：</h2><p>重型胎盤早剝，特別是初產(chǎn)婦不能在短時(shí)間內(nèi)結(jié)束分娩者;胎盤早剝雖屬輕型，但有胎兒窘迫征象，需搶救胎兒者;重型胎盤早剝，胎兒已死，產(chǎn)婦病情惡化，處于危險(xiǎn)之中又不能立即分娩者;破膜引產(chǎn)后，產(chǎn)程無(wú)進(jìn)展者，均應(yīng)及時(shí)行剖宮產(chǎn)術(shù)。術(shù)中取出胎兒、胎盤后，應(yīng)及時(shí)行宮體肌注宮縮劑、按摩子宮，一般均可使子宮收縮良好，控制出血。若發(fā)現(xiàn)為子宮胎盤卒中，同樣經(jīng)注射宮縮劑及按摩等積極處理后，宮縮多可好轉(zhuǎn)，出血亦可得到控制。若子宮仍不收縮，出血多且血液不凝，出血不能控制時(shí)，則應(yīng)在輸入新鮮血的同時(shí)行子宮切除術(shù)。</p><p>希望以上小編整理的內(nèi)容可以幫助到大家，學(xué)習(xí)更多的<b>孕婦分娩小知識(shí)</b>，請(qǐng)繼續(xù)關(guān)注吱客網(wǎng)。</p> <div id="owy4z77" class="tags"><a href="/tags/etagid98616-0.html" target="_blank">孕婦胎盤早剝</a> <a href="/tags/etagid91080-0.html" target="_blank">孕婦分娩知識(shí)</a> <a href="/tags/etagid89381-0.html" target="_blank">孕嬰安全知識(shí)</a> <a href="/tags/etagid98617-0.html" target="_blank">胎盤早剝</a> <a href="/tags/etagid103039-0.html" target="_blank">胎膜早破</a> <a href="/tags/etagid99599-0.html" target="_blank">產(chǎn)后羊水栓塞</a> <a href="/tags/etagid95679-0.html" target="_blank">早產(chǎn)兒敗血癥</a> <a href="/tags/etagid95678-0.html" target="_blank">早產(chǎn)兒肺炎</a></div> </div> </article> <div id="z7s2lwt" class="clearfix"></div>  <section class="left_t aabox"> </section> <section class="right_t aabox"> </section> <div id="ya984ez" class="clearfix"></div>  <section class="otherlink"> <h3 class="list">相關(guān)閱讀</h3> <ul class="list"> <li><a href="/article/202301/127455.html" target="_blank">中國(guó)第一網(wǎng)紅李子柒:短視頻創(chuàng)作者多才多藝非遺大使</a></li><li><a href="/article/202311/123731.html" target="_blank">世界上速度最快的火箭自行車:堪比火箭噴射時(shí)速333公里</a></li><li><a href="/article/202312/121281.html" target="_blank">旌德迎神賽會(huì) 蓑衣箬帽會(huì)</a></li><li><a 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