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目的比较自制冰水囊宫腔填塞与纱布宫腔填塞在治疗宫缩乏力所致产后出血中的效果,为临床寻找一种快速有效的止血方法提供依据。方法选用31例因宫缩乏力所致的产后出血病例,随机分成两组,一组为自制冰水囊宫腔填塞,另一组为纱布宫腔填塞,比较两组手术操作完成时间,止血所需时间和24 h出血量。结果自制冰水囊宫腔填塞手术操作完成时间、止血所需的时间明显优于宫腔纱布填塞,24 h出血量差异无统计学意义。结论可用自制冰水囊宫腔填塞治疗宫缩乏力所致的产后出血,安全无创伤,可提高抢救效率。
Objective To compare the effect of homemade ice water bag intrauterine packing and gauze intrauterine packing in the treatment of postpartum hemorrhage caused by uterine atony, so as to provide a basis for finding a fast and effective hemostatic method clinically. Methods 31 patients with postpartum hemorrhage due to uterine inertia were randomly divided into two groups, one for the homemade ice sac cavity packing, the other for gauze uterine cavity packing, the completion of the operation time of two groups were compared, hemostasis Need time and 24 h bleeding. Results The completion time of the homemade ice water bag intrauterine filling operation was significantly better than that of the uterine gauze packing. There was no significant difference in the amount of bleeding 24 h. Conclusion Self-made ice water bag intrauterine packing for the treatment of postpartum hemorrhage due to uterine inertia, safe and non-invasive, can improve the rescue efficiency.