胎盘植入诊治指南PPT课件

)Р33.9+/-1.1Р34.7+/-1.2Р.34РEstimated blood loss(mL)Р2,344+/-1.7Р2951+/-1.8Р.053РUnits of PRBCsР4.7+/-2.2Р6.9+/-1.8Р.02РMaternal ICU admissionР43 (72)Р22 (65)Р.49РMaternal hospital daysР7.4+/-1.8Р5.5+/-1.6Р.01РplicationsРBladderР14 (23)Р3 (9.8)РUreterР5 (8)Р1 (3.2)РBowelР0Р1 (3.2)Р.10РObstet Gynecol,2010;115:65–69Р减少输血量、缩短ICU住院时间Р分娩前诊断Р分娩前未诊断РPРBirth weight(g)Р2400 743Р2745+/-1156Р.84РNICU admissionР50(86)Р19(60)Р.005РNICU LOS(d)Р9.8+/-2.5Р6.3+/-3.5Р.13РHospital LOS(d)Р10.7+/-1.9Р6.9+/-2.1Р0.006РAntenatal steridsР34(65)Р5(16)Р<0.001РObstet Gynecol,2010;115:65–69Р缩短新生儿ICU住院天数Р患者Р手术前诊断Р胎盘植入类型Р膀胱侵入Р手术中证实Р术中出血Р其他外科干预РAР+Р穿透Р+Р+Р1400Р-РBР+Р穿透Р+Р+Р500Р-РCР+Р穿透Р+Р+Р450Р-РDР+Р穿透Р+Р+Р1600Р-РInt J Ob & Gy stetrics ,2012 ;117:191–194Р分娩前诊断.手术中干预后患者结局Р二.分娩:1.阴道分娩? 2.剖宫产? 手术切口个体化选择? (腹部竖切口、尽量避开胎盘的子宫切开)