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胎盘

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Objective:To analyse the risk factors of placenta accrete,explore the diagnosis and treatment of Placenta accrete.

目的:分析胎盘植入的发病因素,探讨胎盘植入的诊断与治疗。

Result: The major clinical indications for transcatheter embolization included uterine atony in 12 women, a genital tract lesion in 7 women, placenta previa in 2 women, and placenta accreta in 2 women. Two patients were known to have myomas. All were already in-house.

结果:接受动脉栓塞治疗的主要的临床适应症包括十二位子宫收缩无力患者、七位生殖道裂伤患者、两位前置胎盘患者、两位黏生性胎盘患者、其中还有两位怀孕合并子宫肌瘤的患者。

Objective:to investigate the cesarean section of the reasons for the bleeding, and lower the rate of obstetric hysterectomy possibility.methods: 30 cases in our hospital cesarean section in the clinical data of patients with hemorrhage were retrospectively analyzed.results: in 30 cases of bleeding, placental factors accounted for 53.33%, 36.67% of the uterine atony, uterine incision bleeding laceration of 6.67%, 3.33% of the amniotic fluid embolism, hysterectomy three cases.conclusion:placenta, uterine atony cesarean section is the main reason for the bleeding.

目的:探讨剖宫产术中大出血的原因及降低产科子宫切除率的可能性。方法:对我院30例剖宫产术中大出血患者的临床资料进行回顾性分析。结果:30例大出血中,胎盘因素占53.33%,宫缩乏力占36.67%,子宫切口裂伤出血占6.67%,羊水栓塞占3.33%。治疗结果中,子宫切除3例,占剖宫产术的0.076%(3/3 935)。结论:胎盘因素、宫缩乏力是剖宫产术中大出血的主要原因。

Objective:To investigate the possible role of apoptosis in the pathophysiologic mechanism of premature calcification of placenta.

目的:探讨胎盘细胞凋亡在胎盘提前钙化发生发展中的作用。

Under normal circumstances, the closer term, more mature placenta, and placental function is decreasing with fetal maturity.

正常情况下,越接近足月,胎盘越成熟,而胎盘功能则随胎儿成熟逐渐下降。

Objective To determine the expression levels of vascular endotheliul growth factor and placental growth factor in the placeta tissue of patients with preeclampsia and eclampsia and explore the relationship of VEGF and PLGF to preeclampsia and eclampsia.

目的 检测血管内皮生长因子和胎盘生长因子在子痫前期及子痫患者胎盘组织中的表达,探讨两者与子痫前期和子痫的相关性。

Followed by parturition placenta, check the placenta, fetal membranes is complete, pay attention to contraction of the uterus to prevent postpartum hemorrhage, intramuscular injection of oxytocin or ergometrine.

继之娩出胎盘,检查胎盘、胎膜是否完整,注意子宫收缩,预防产后出血、肌注催产素或麦角新碱。

Because serum free estriol was composed by fetus-placenta unit, dynamic monitoring serum free estriol content in pregnancy was one of the important targets of understanding fetus-placenta normal functions, so it also has important clinical value.

妊娠期FE3主要由胎儿-胎盘单位合成,因此动态监测孕妇血清FE3的含量,是了解胎儿-胎盘功能正常与否的重要指标之一,具有重要临床价值。

Methods The human placental lactogen and the estriol were tested by immunohistochemical staining with anti-hPL, E3 monoclonal antibodies.

结果3级胎盘+、胎儿窘迫、葡萄胎和宫内死胎孕妇的血清FE3和HPL含量均比正常对照组低(P.05)。结论FE3和HPL联合测定能判断胎盘功能,为临床提供判

Zhao Lan said that in addition to do B-inspection show that the placenta calcification (select an experienced doctor, that depends on very careful look at), the amniotic fluid depends on the amount of umbilical blood flow color Doppler ultrasound to see whether the rate of normal fetal heart rate monitoring, checking urine estriol and creatinine ratio, and examine the vaginal walls of exfoliated cells, etc., can the placenta reaction conditions must be diagnosed after a comprehensive consideration.

赵先兰说,除了做B超检查看胎盘钙化点(选有经验的医生看,还要看得认真仔细)以外,还要看羊水多少,彩超看脐动脉血流速度是否正常,胎心监测,尿检查雌三醇和肌酐比值,查阴道壁上脱落细胞等等,都能反应胎盘状况,必须综合考量后确诊。

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