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id="e286xo47mbob" class="y_ju"><script type="text/javascript">a("title");</script></div> <div id="e286xo47mbob" class="con_article con_main" id="contentText"> <p>什么原因?qū)е绿核捞?/p><p> 　　妊娠20周后，胎兒在宮腔內(nèi)死亡，稱為死胎。那么，什么原因?qū)е绿核捞?下面就由學(xué)習(xí)啦小編告訴大家吧!</p><p><strong>　　什么原因?qū)е绿核捞?/strong></p><p> 　　1、胎盤及臍帶因素：如前置胎盤、胎盤早剝、血管前置、急性絨毛膜羊膜炎、臍帶帆狀附著、臍帶打結(jié)、臍帶脫垂、臍帶繞頸纏體等，胎盤大量出血或臍帶異常，導(dǎo)致胎兒缺氧。</p><p> 　　2、胎兒因素：如胎兒嚴(yán)重畸形、胎兒生長受限、雙胎輸血綜合征、胎兒感染、嚴(yán)重遺傳性疾病、母兒血型不合等。</p><p> 　　3、孕婦因素：嚴(yán)重的妊娠合并癥、并發(fā)癥，如妊娠期高血壓疾病、抗磷脂抗體綜合癥、糖尿病、心血管疾病、各種原因引起的休克等。子宮局部因素，如子宮張力過大或收縮力過強(qiáng)、子宮畸形、子宮破裂等致局部缺血而影響胎盤、胎兒。</p><p><strong>　　死胎對孕婦有什么影響</strong></p><p> 　　1、死胎在宮腔內(nèi)停留過久能引起母體凝血功能障礙。</p><p> 　　2、死胎是否對下一次懷孕產(chǎn)生影響，需要看是哪種原因造成的死胎。曾經(jīng)有過胎停育史的女性，應(yīng)該在下次懷孕前找到病因，以防重蹈覆轍。死胎后，女性應(yīng)調(diào)理身體，在下次準(zhǔn)備懷孕之前去醫(yī)院做詳細(xì)檢查，看是否具有懷孕的條件。平時要做好避孕，以免多次不必要的流產(chǎn)造成對身體的損傷。</p><p> 　　3、胎死宮內(nèi)是準(zhǔn)媽媽生活中重要的應(yīng)激事件，對準(zhǔn)媽媽危害極大。準(zhǔn)媽媽既要承受精神上的打擊，還要面臨引產(chǎn)手術(shù)的痛苦。面對病區(qū)的其他正常孕產(chǎn)婦，面對父母和丈夫會增加準(zhǔn)媽媽的心理壓力、失落感、負(fù)疚感和不良情緒等。所以，應(yīng)及時做好死胎孕產(chǎn)婦的心理護(hù)理，及早對異常心理進(jìn)行干預(yù)，對減少滯產(chǎn)、產(chǎn)后出血、產(chǎn)后抑郁癥的發(fā)生有重要意義。</p><p><strong>　　死胎治療方法</strong></p><p> 　　1、完善病史：死胎一經(jīng)確診，首先應(yīng)該詳盡完善病史，包括家族史、既往史、本次妊娠情況。盡早引產(chǎn)，建議做胎兒尸體解剖及胎盤、臍帶、胎膜病理檢查及染色體檢查，盡力尋找死胎原因，做好產(chǎn)后咨詢。即使經(jīng)過全面、系統(tǒng)評估，仍至少有1/4的病理無法明確病因。</p><p> 　　對于不明原因的低危孕婦，37周之前死胎的復(fù)發(fā)率為7.8‰-10.5‰;37周之后的復(fù)發(fā)率僅為1.8‰。而對于有合并癥或并發(fā)癥的高危孕婦，死胎的復(fù)發(fā)率明顯增加。</p><p> 　　2、凝血功能檢查：胎兒死亡4周還未排出的準(zhǔn)媽媽，應(yīng)進(jìn)行凝血功能檢查。如果纖維蛋白原<1.5g/L，血小板<100*109/L時，可以用肝素治療，劑量為每次0.5mg/kg，每6小時給藥1次，一般用藥24-48小時后，可使纖維蛋白原和血小板恢復(fù)到有效止血水平，然后再引產(chǎn)，并準(zhǔn)備好新鮮血，注意預(yù)防產(chǎn)后出血和感染。</p><p> 　　3、引產(chǎn)：引產(chǎn)方法有多種，包括米索前列醇，經(jīng)過羊膜腔注入依沙丫啶以及高濃度催產(chǎn)素等，應(yīng)根據(jù)孕周及子宮有無瘢痕，結(jié)合準(zhǔn)媽媽意愿，在知情的同意下作出選擇。原則是盡量經(jīng)過陰道分娩，剖宮產(chǎn)僅限于特殊情況下使用。對于妊娠28周前無子宮手術(shù)史者，陰道放置米索前列醇是一種比較安全、有效的引產(chǎn)方式。應(yīng)用方法200-400μg經(jīng)陰道放置，每4-12小時一次。對于妊娠28周前有子宮手術(shù)史者，應(yīng)制定個體化引產(chǎn)方案。妊娠28周后的引產(chǎn)應(yīng)該根據(jù)產(chǎn)科指南制定。</p> </div> <div id="e286xo47mbob" class="y_ju"><script type="text/javascript">a("conten");</script></div> <div id="e286xo47mbob" class="pnum"> <ul id="page_slice"> <div id="e286xo47mbob" class="clear"></div> </ul> </div> </article> <div id="e286xo47mbob" class="list_hot ar_related bj_mt20 louti"> <h4 class="title2 title2_te">相關(guān)文章</h4> <ul class="bj_mt20"> <li id="e286xo47mbob" class="lb_3 chao"> <time>02-16</time> <a href="http://www.yishupeixun.net/jiyili/rumen/63447.html" title="記憶力下降的原因" target="_blank">記憶力下降的原因</a> </li> <li id="e286xo47mbob" class="lb_3 chao"> <time>02-16</time> <a href="http://www.yishupeixun.net/jiyili/rumen/63439.html" 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