The application of acute normovolemic hemodilution in cesarean section for pregnant women with total placenta praevia and accrete
- VernacularTitle:急性等容血液稀释在完全性前置胎盘合并胎盘植入剖宫产手术中的应用
- Author:
Yan NI
;
Qinhai ZHOU
;
Xiuhong JIANG
;
Zhengnian DING
- Publication Type:Journal Article
- Keywords:
Acute normovolemic hemodilution;
Total placenta praevia;
Placenta accreta;
Umbilical artery;
Blood gas analysis
- From:
The Journal of Clinical Anesthesiology
2014;(6):571-573
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficacy and safety of acute normovolemic hemodilu-tion for pregnant women with total placenta pravia and accreta.Methods Fifty-two pregnant women with placenta praevia and accreta were randomly divided into three groups.Groups A and B received ANH or AHH before the operation while group C received the normal treatment.The total blood loss,transfusion of allogeneic blood and preoperative and postoperative routine blood test were recor-ded;the infants’umblical artery blood samples were taken immediately after birth,and 1 min,5 min Apgar scores and the blood gas was analyzied.Results There were no significant difference in the general condition,operation duration,blood loss among the three groups;the transfusion of allogeneic blood in groups B and C were much more than group A (P <0.05);the postoperative hemoglobin and hematocrit and the count of plateletsin in group A were better than groups B and C (P <0.05),while there were no statistically difference between groups B and C;there were not only seldom difference in the Apgar scores of 1 min and 5 min,but also barely change in the blood gas analysis of umbilical ar-tery in new borns from the three groups.Conclusion ANH could play an important role in the pre-vention of postpartum hemorrhage without doing any harm to the mother and infant.
