The massive hemorrhage of central placenta previa could lead to gravida hemorrhagic shock,dead or iatrogenic premature delivery. On the premise of gravida safety, the expectant treatment of inhibiting uterine contraction, promoting fetal lung maturation, cervical cerclage, preventing infection and supporting therapy should be carried out according to the different clinical character of individual case. The implementation of these treatments will help to prolong delivery gestational weeks and improve perinatal prognosis.%中央性前置胎盘大出血可导致孕妇失血性休克、死亡以及治疗性早产.在保证孕妇健康安全的前提下,针对每个病例的临床特点,给予抑制宫缩、促胎肺成熟、宫颈环扎、预防感染、支持治疗等个体化期待治疗,延长分娩孕周,有助于改善围产儿预后.
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