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目的探讨产科急症子宫切除术在抢救产科大出血中的应用价值。方法采用回顾性资料分析方法,8例因产科急症行子宫切除术患者的临床资料进行分析。结果8例均为经保守治疗不能控制的产科大出血患者,其中DIC2例,子宫胎盘卒中3例(1例合并DIC),宫缩乏力2例(1例为双胎妊娠),子宫破裂、子宫畸形(并胎盘植入)各1例。出血量1600~3500ml,平均2380ml。8例患者均行子宫切除术后痊愈出院。相关因素分析显示,孕产次、多胎妊娠、分娩方式等因素与产科急症子宫切除术相关。结论产科急症子宫切除术是治疗急性产科大出血的有效措施之一。
Objective To investigate the value of emergency hysterectomy in obstetric hemorrhage. Methods The retrospective data analysis method was used to analyze the clinical data of 8 patients undergoing hysterectomy due to obstetric emergencies. Results All the 8 patients were obstetric patients with bleeding due to uncontrollable conservative treatment. Among them, 2 cases of DIC, 3 cases of uterine placental stroke (1 case with DIC), 2 cases of uterine inertia (1 case of twin pregnancy), uterine rupture, (And placenta accreta) in 1 case. The amount of bleeding 1600 ~ 3500ml, an average of 2380ml. All 8 patients were cured after hysterectomy and discharged. Correlation analysis showed that maternity times, multiple pregnancies, mode of delivery and other factors associated with obstetric emergency hysterectomy. Conclusion Obstetric emergency hysterectomy is one of the effective measures to treat acute obstetric hemorrhage.