论文部分内容阅读
目的探讨紧急子宫切除术治疗难治性产后出血的临床效果。方法选取集安市医院妇产科2013年收治的难治性产后出血产妇52例,按随机数字表法将产妇分为对照组和观察组,每组26例。对照组使用传统宫腔塞纱止血法治疗,观察组行紧急子宫切除术治疗,分析和总结其出现难治性产后出血的原因,比较两组产妇治疗前后的出血量、产后输血量和抢救情况。结果两组产妇宫缩乏力、胎盘因素、软产道裂伤和凝血功能障碍比较,差异无统计学意义(P>0.05);两组产妇治疗前出血量比较,差异无统计学意义(P>0.05)。两组产妇治疗后出血量、输血量和抢救成功率比较,差异均有统计学意义(P<0.05)。结论紧急子宫切除术可有效抢救难治性产后出血产妇的生命,但应在全面检查产妇的情况后再施行该手术。
Objective To investigate the clinical effect of emergency hysterectomy in the treatment of refractory postpartum hemorrhage. Methods 52 cases of refractory postpartum hemorrhage maternal women admitted to the Department of Obstetrics and Gynecology, Ji’an Hospital in 2013 were divided into control group and observation group according to random number table method, with 26 cases in each group. The control group was treated with conventional uterine plug gauze hemostasis, and the observation group underwent emergency hysterectomy. The causes of intractable postpartum hemorrhage were analyzed and summarized. The blood loss, postpartum blood transfusion, and rescue were compared between the two groups . Results There was no significant difference in maternal uterine contractions, placental factors, soft birth canal laceration and coagulation dysfunction between the two groups (P> 0.05). There was no significant difference in bleeding volume between the two groups before treatment (P> 0.05 ). The blood loss, blood transfusion and rescue success rate of the two groups of maternal after treatment were significantly different (P <0.05). Conclusion Emergency hysterectomy can effectively rescue the life of refractory postpartum hemorrhage maternal, but after a comprehensive examination of the maternal situation before the implementation of the operation.