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目的:分析产科急症子宫切除的临床情况,分析该方法的治疗效果,针对产后大出血采用此方法以降低产妇及新生儿的死亡率。方法:选取我院2010年3月至2012年2月两年内出现的产科大出血患者92例,就子宫切除术的原因进行分析。结果:92例临床症状产后大出血中,胎盘因素导致的有41例,宫缩乏力导致的有27例,晚期产后出血导致的有14例,重度妊高症导致的有6例,子宫破裂导致的有3例,羊水栓塞导致的有1例。结论:胎盘因素是导致产后大出血的主要因素,只有采取急症子宫切除才能抢救产后大出血、挽救产妇及新生儿的生命。
OBJECTIVE: To analyze the clinical situation of obstetric emergency hysterectomy, analyze the therapeutic effect of this method, and adopt this method to reduce postpartum hemorrhage to reduce maternal and neonatal mortality. Methods: 92 cases of obstetric haemorrhage occurred in our hospital from March 2010 to February 2012 were selected. The causes of hysterectomy were analyzed. Results: Among the 92 clinical symptoms of postpartum hemorrhage, there were 41 cases of placental factors, 27 cases of uterine inertia, 14 cases of late postpartum hemorrhage, 6 cases of severe pregnancy-induced hypertension, In 3 cases, amniotic fluid embolism caused by 1 case. Conclusion: The placental factor is the major factor leading to postpartum hemorrhage. Only emergency hysterectomy can rescue the postpartum hemorrhage and save the lives of mothers and newborns.