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目的探究宫颈间断缝合加卵圆钳钳夹术治疗产后出血的临床效果。方法 46例经阴道分娩子宫收缩乏力导致的产后出血患者,行宫颈间断缝合加卵圆钳钳夹术治疗,观察患者的临床治疗效果。结果经过治疗后,患者阴道出血明显减少,子宫保全,46例患者中5例输入浓缩的红细胞,输血率为10.9%,输血量1~3 U,46例患者钳夹时间<30 min 21例(45.7%),30~60 min 18例(39.1%),>60 min 7例(15.2%)。产后出血<30 min患者的平均止血时间为(7.4±3.8)min,产后出血≥30 min患者的平均止血时间为(14.5±6.2)min,予以患者对症治疗,所有患者均治愈,在3~5 d内顺利出院,在患者复查时应用超声检查,患者的子宫轮廓正常,回声均匀,无损伤感染情况,愈合良好。结论宫颈间断缝合加卵圆钳钳夹术治疗产后出血,效果显著,具有应用价值,值得推广。
Objective To investigate the clinical effect of intermittent cervical suture and oval pliers in the treatment of postpartum hemorrhage. Methods 46 cases of postpartum hemorrhage caused by vaginal delivery of uterine atresia were treated with intermittent cervical suture and oval pincer clamp, and the clinical effect of the treatment was observed. Results After treatment, the patients’ vaginal bleeding was significantly reduced and the uterus was preserved. Among the 46 patients, 5 patients received concentrated erythrocytes, the transfusion rate was 10.9%, the volume of blood transfusion was 1-3 U, and the duration of clamping in 46 patients <30 min 45.7%), 18 cases (39.1%) in 30-60 minutes, 7 cases (15.2%) in> 60 minutes. The average bleeding time in patients with postpartum hemorrhage <30 min was (7.4 ± 3.8) min and that in patients with postpartum hemorrhage ≥30 min was (14.5 ± 6.2) min, and the patients were treated symptomatically. All patients were cured at 3-5 d discharged smoothly in the patient review of the application of ultrasound, the patient’s uterus normal profile, echo uniform, non-invasive infection, healed well. Conclusion Interrupted cervical suture plus oval pliers clamp treatment of postpartum hemorrhage, the effect is significant, with application value, it is worth promoting.