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目的:探讨剖宫产术后晚期产后出血的原因及治疗方法。方法:回顾性分析1998-12/2007-12收治的38例剖宫产术后晚期产后出血的原因及处理。结果:子宫切口坏死溃疡12例,感染10例,部分裂开8例,胎盘胎膜残留5例,子宫复旧不良3例。保守治疗成功28例,行清宫术5例,子宫全切5例。结论:严格掌握剖宫产手术指征,避免无指征剖宫产,提高产科质量是降低剖宫产率,减少剖宫产术后晚期产后出血的关键。
Objective: To investigate the causes and treatment of late postpartum hemorrhage after cesarean section. Methods: Retrospective analysis of 38 cases of postpartum hemorrhage after cesarean section admitted from December 1998 to December 2007 were analyzed retrospectively. Results: 12 cases of uterine incision necrosis ulceration, infection in 10 cases, partial dehiscence in 8 cases, 5 cases of residual placental membranes, uterine involution in 3 cases. Conservative treatment was successful in 28 cases, 5 cases of curettage, uterine resection in 5 cases. Conclusion: Strict control of indications for cesarean section, to avoid cesarean section without indications, improve the quality of obstetrics is to reduce the rate of cesarean section, reduce postpartum hemorrhage after cesarean section the key.