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目的探讨再次剖宫产的临床疗效。方法回顾性分析50例再次行剖宫产患者的临床资料,进一步分析再次剖宫产的高危因素、再次剖宫产指征以及手术时机等。结果 50例再次行剖宫产患者中,16例出现术中出血,出血发生率为32.00%,平均出血量(490±305)ml,而50例患者均出现腹腔粘连。其中导致出血的原因包括宫缩乏力、胎盘因素、切口裂开、子宫破裂。再次剖宫产的手术指征为头盆不称、胎儿窘迫、妊娠高血压疾病等。而手术时机为在临产前和临产时进行手术。结论再次剖宫产对产妇影响较大,应不断提高产科质量,降低剖宫产率,值得临床借鉴。
Objective To investigate the clinical effect of cesarean section again. Methods Retrospective analysis of 50 cases of cesarean section patients again clinical data, further analysis of cesarean section risk factors again cesarean section indication and operation timing. Results Among the 50 patients who underwent cesarean section again, 16 cases had intraoperative bleeding. The incidence of hemorrhage was 32.00% and the average amount of bleeding was (490 ± 305) ml. All the 50 patients had abdominal adhesions. The causes of bleeding include uterine atony, placental factors, incision cleft, uterine rupture. Cesarean section again indications for surgery are cephalopelvic disproportion, fetal distress, pregnancy-induced hypertension and other diseases. The timing of surgery for prenatal and labor during operation. Conclusion Cesarean section again have a greater impact on the mothers should continue to improve the quality of obstetrics, reduce the rate of cesarean section, it is worth learning from.