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目的对比研究治疗难治性产后出血的3种方法之间的异同,以期更有效合理的救治难治性产后出血。方法随机抽样抽取2009年7月至2011年7月于云南省曲靖市富源县人民医院妇科就诊的采用了宫腔塞纱、髂内动脉结扎术或子宫切除术治疗的难治性产后出血患者50例,对其资料进行系统性的研究和统计分析。结果 50例患者全部抢救成功,其中宫腔塞纱14例,髂内动脉结扎术26例,子宫切除术10例。结论宫腔塞纱原理为压迫止血,术中出现大出血应以髂内动脉结扎术为主,子宫导致凝血功能障碍时主张子宫切除。不同治疗方法的选择应根据不同的患者体征、病情的发展时期等具体情况共同决定。
Objective To compare the similarities and differences between the three methods of refractory postpartum hemorrhage in order to treat the refractory postpartum hemorrhage more effectively and reasonably. Methods Randomly sampled from July 2009 to July 2011 in Fuyuan County People’s Hospital of Qujing City, Yunnan Province, gynecological treatment using intrauterine plug yarn, internal iliac artery ligation or hysterectomy in patients with refractory postpartum hemorrhage 50 Cases, their data for systematic research and statistical analysis. Results All 50 patients were successfully rescued, including 14 cases of uterine plug yarn, 26 cases of internal iliac artery ligation and 10 cases of hysterectomy. Conclusion The principle of uterine plug yarn is oppression and hemostasis. Intraoperative bleeding should be based on internal iliac artery ligation. When the uterus leads to coagulation dysfunction, hysterectomy is advocated. The choice of different treatment methods should be based on different patient signs, the development of the disease and other specific circumstances jointly decide.