【摘要】目的:探讨凶险型前置胎盘产后大出血的抢救护理策略,以为临床护理提供参考依据。策略:选取2012年1月至2014年1月我院接收的25例凶险型前置胎盘患者为研究对象,所有患者均采用剖工产术以终止妊娠,回顾性分析其临床护理资料。结果:所有患者均行剖宫产以终止妊娠。17例患者于术中发生产后大出血,及时采取输血、输液措施和注射宫缩剂后症状得以缓解,其中4例患者采取上述措施却仍未见症状好转则采取子宫切除方式予救治。术后患者恢复状况良好,1例发生术后感染,及时采取抗感染治疗后得以恢复,均安全出院。结论:为降低凶险型前置胎盘的发生率,应当做好计划生育和孕产知识宣传工作,切实提升产科医疗治疗水平,提倡自然分娩;对于已经罹患凶险型前置胎盘的患者,做好术前准备和术后观察工作。 【关键词】凶险胎盘前置;产后大出血;护理 Abstract: Objective: To explore the rescue and nursing countermeasures of pernicious postpartum hemorrhage of placenta previa and provide a reference basis for clinical nursing. Methods: Randomly selected 25 cases of patients with placenta previa in our hospital from January 2012 to January 2014, they all received operation to terminate the pregnancy, and then analyzed their clinical data retrospectively. Results: All the patients were treated with cesarean section to terminate pregnancy. 17 cases were with hemorrhage during the operation and the symptoms were released after taking measures of blood tranusion, infusion injection and uterotonic injection, 4 patients received hysterectomy to rescue after no symptoms improved of these measures. 1 case occurred postoperative infection and restored after taking anti-infection treatment timely. Conclusion: To reduce the incidence of pernicious placenta previa,we should do a good job in family planning and motherhood knowledge propaganda work, enhance the obstetrical medical treatment leveleffectively, advocate natural childbirth and do preoperative preparation and postoperative observation work for patients had been suffering from pernicious placenta previa. Keywords: pernicious placenta previa; postpartum hemorrhage; nursing 1671-8801(2014)011- 0036-02