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我院自1981年起应用宫腔填塞纱条治疗42例剖宫产大出血取得良好效果。出血主要原因:(1)前置胎盘23例,其中14例伴胎盘粘连,14例中有2例伴胎盘局部浅肌层植入;(2)子宫收缩乏力19例。42例平均出血量为1509.52ml。纱条填塞时间为13~36h,填塞至抽取纱条时出血量20~500ml,抽取纱条后无1例再发生产褥出血。本文提示:此法简单易行。是控制剖宫产大出血的最佳保守疗法。
Our hospital since 1981, the application of uterine plug gauze treatment of 42 cases of cesarean section bleeding achieved good results. The main causes of bleeding: (1) placenta previa in 23 cases, of which 14 cases with placenta accreta, 14 cases in 2 cases with placenta superficial myometrial implantation; (2) uterine atony in 19 cases. 42 cases of the average amount of bleeding was 1509.52ml. Sliver packing time is 13 ~ 36h, filling up to the amount of bleeding when drawing gauze 20 ~ 500ml, no extractive puerperal hemorrhage occurred in 1 case. This article suggests: This method is simple and easy. Is the best conservative treatment of cesarean haemorrhage.