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随着剖宫产率的增加,术中大出血较为常见,如处理不好可威胁产妇的生命。我国孕产妇中绝大多数为初产妇,因此剖宫产时如发生顽固性大出血而作子宫切除术,会给产妇带来身体上和精神上的创伤,如能采取有效措施保留子宫,对治疗方面有重大作用。现将我院处理经验介绍如下:一、临床资料自1955年1月1日到1986年12月31日,我们用纱布填塞宫腔治疗由于剖宫产子宫收缩乏力引起的大出血50例(出血量≥400ml)。手术方式除2例古典式剖宫产、4例腹膜外剖宫产外,其余皆为子宫下段剖宫产。术中出血量<1000ml的有13例;1000～2000ml 22例,>2000ml 15例。最
With the increase of cesarean section rate, intraoperative bleeding is more common, such as poor handling can threaten the lives of mothers. The vast majority of pregnant women in China for primipara, so when cesarean section occurred intractable bleeding for hysterectomy, maternal will bring physical and mental trauma, if they can take effective measures to retain the uterus, the treatment Has a significant role. Now the treatment experience of our hospital are as follows: First, the clinical data from January 1, 1955 to December 31, 1986, we use gauze-stuffed uterine cavity treatment of cesarean section due to fatigue caused by 50 cases of bleeding (bleeding ≥400ml). Surgical methods in addition to 2 cases of classical cesarean section, 4 cases of extraperitoneal cesarean section, the rest are the lower uterine segment cesarean section. There were 13 cases of bleeding less than 1000ml, 22 cases of 1000 ~ 2000ml and 15 cases of> 2000ml. most