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href='/xywy/'>寻医·问药</a>><a href='/xywy/yxtqs/'>医讯同期声</a></span><span id="i2i2jyu4k" class="t" id="a1"><a href="/xywy/yxtqs/">医讯同期声</a></span></h1> <div id="i2i2jyu4k" class="pa_0_5_0_10"> <h1 class="Content_title" id="hh"> <span id="a" style="">临产妇突发大出血胎盘早剥母子命危</span> </h1> <script>/*jQuery('#hh').width(jQuery('#a').width());*/</script> <div id="i2i2jyu4k" class="Remark"> <span>2018年08月27日 16:05 | 来源：<a target="_blank">广州日报</a></span> <span id="i2i2jyu4k" class="fr"> <div id="i2i2jyu4k" class="bdsharebuttonbox"><a href="#" class="bds_more" data-cmd="more"></a><a href="#" class="bds_qzone" data-cmd="qzone" title="分享到QQ空间"></a><a href="#" class="bds_tsina" data-cmd="tsina" title="分享到新浪微博"></a><a href="#" class="bds_tqq" data-cmd="tqq" title="分享到腾讯微博"></a><a href="#" class="bds_renren" data-cmd="renren" title="分享到人人网"></a><a href="#" class="bds_weixin" data-cmd="weixin" title="分享到微信"></a></div> <script>window._bd_share_config={"common":{"bdSnsKey":{},"bdText":"","bdMini":"2","bdMiniList":false,"bdPic":"","bdStyle":"0","bdSize":"16"},"share":{}};with(document)0[(getElementsByTagName('head')[0]||body).appendChild(createElement('script')).src='http://bdimg.share.baidu.com/static/api/js/share.js?v=89860593.js?cdnversion='+~(-new Date()/36e5)];</script> </span><span id="i2i2jyu4k" class="fr">分享到：<img src="/images/fx.jpg" /> </span> </div> <div id="i2i2jyu4k" class="text_box"> <p align="center"> <div style="text-indent: 2em; text-align: left;"><p style="text-indent: 2em; text-align: left;">“产妇突发大出血，胎心急速下降?！?“胎儿急性缺血、缺氧，随时有生命危险！” “马上开启绿色通道，立刻进行手术！”8月19日，首个“中国医师节”当天，正在值班的南方医科大学珠江医院妇产科值班医师展开了一次17分钟与“死神”的“对决”，最终挽救了一对母婴的生命。医生提醒，产妇临产如果发生持续腹痛和阴道流血等症状，要警惕胎盘早剥。</p><p style="text-indent: 2em; text-align: left;"><strong>危急：产妇突发大出血胎心率急速下降</strong></p><p style="text-indent: 2em; text-align: left;">李女士今年30岁，初产妇，怀孕39周。19日中午，发现阴道少量流血，李女士收拾好待产包来到珠江医院妇产科准备住院待产。</p><p style="text-indent: 2em; text-align: left;">16时30分，就在办理入院的过程中，李女士突然感觉大量液体从阴道流出。值班医师陈洁立即上前检查，发现不断流出的羊水呈鲜红色。陈洁立即对产妇进行持续胎心监测，发现胎儿心率由140次/分突然下降到56~72次/分。</p><p style="text-indent: 2em; text-align: left;">“糟了，可能出现了胎盘早剥。胎儿会出现急性缺血、缺氧，可能在很短的时间内就胎死宫内?！背陆嘀髦我绞σ馐兜角榭鑫＜?，立即通知胡冬梅副主任医师，并按照指示，组织全部值班医生护士兵分多路，分别联系手术室、麻醉科，通知二线教授、儿科医生，向孕妇及家属简明扼要交代病情，立即开通绿色通道实施剖宫产。</p><p style="text-indent: 2em; text-align: left;">得知情况的危急，产妇家属一边签署急诊手术同意书，一边跟着值班医生推着病床飞奔向手术室。此时，手术室的麻醉医生和手术护士已经做好了手术准备。</p><p style="text-indent: 2em; text-align: left;">16时40分，产妇进入手术室，妇产科陈洁、行李琳医师开始手术。消毒、全麻、开腹、开子宫，大量暗红色的羊水涌出。</p><p style="text-indent: 2em; text-align: left;">16时47分，宝宝成功从子宫里取出。随着一声清亮的啼哭，参与抢救的医护人员悬着的心终于放了下来。宝宝出生评分9分，接近满分10分。</p><p style="text-indent: 2em; text-align: left;"><strong>提醒：临产期持续腹痛要警惕胎盘早剥</strong></p><p style="text-indent: 2em; text-align: left;">从发现产妇大出血，产科医师快速诊断并立即开通绿色通道，到命悬一线的宝宝紧急剖宫产娩出，仅17分钟。其中，从进入手术室到胎儿娩出，更是仅用7分钟。虽然仅短短十多分钟，却无比揪人心弦。“这第一个医师节，过得可以说很有意义了。”术后陈洁医师感叹。</p><p style="text-indent: 2em; text-align: left;">宝宝成功娩出后，医师检查发现，产妇的胎盘已经有二分之一的面积发生了早剥。</p><p style="text-indent: 2em; text-align: left;">什么是胎盘早剥，为什么会如此凶险？珠江医院产科潘石蕾主任介绍，胎盘早剥是指妊娠20周后或分娩期，正常位置的胎盘在胎儿娩出前，部分或全部从子宫壁剥离，属于妊娠晚期严重并发症。在我国，胎盘早剥的发生率约为0.46%~2.1%。</p><p style="text-indent: 2em; text-align: left;">胎盘早剥通常起病急、发展快，一旦处理不及时，可能出现胎儿宫内死亡、弥散性血管内凝血、产后出血、急性肾衰、羊水栓塞等并发症，严重危及母子生命。</p><p style="text-indent: 2em; text-align: left;">潘石蕾主任提醒，产妇一旦出现持续性腹痛、阴道流血等异常症状，一定要立即就医，千万不能抱着侥幸心理，以免造成不可挽回的悲剧。除了出现上述症状，有哪些类型的产妇需要特别警惕出现胎盘早剥呢？潘石蕾主任指出，胎盘早剥的发生主要与以下几大因素有关：孕妇血管病变，如妊娠期高血压、慢性肾病等；宫腔内压力骤减，如胎膜早破、腹部遭到撞击挤压等。（全媒体记者周洁莹通讯员伍晓丹）</p></div> </div> <p class="Editor">编辑：赵彦 </p> <div id="i2i2jyu4k" class="Paging"> </div> <p class="Keyword">关键词：临产妇大出血胎盘早剥</p> <h1 class="pv_title_2 mt_15"><a href="/index.shtml" target="_blank" class="more mtb_14">更多</a><span id="i2i2jyu4k" class="t" id="a3"><a href="/index.shtml"><img src="/images/xg_t1.jpg" /></a></span></h1> <div id="i2i2jyu4k" class="pa_0_5_0_10"> <ul class="Related_ul bh_150"> <li><a target="_blank" 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