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目的探析再次剖宫产术中出血的发生原因和预防措施。方法选取120例再次剖宫产手术产妇作为再次剖宫产组,选取本院同期收治的120例首次剖宫产手术产妇作为首次剖宫产组。对比两组剖宫产术中出血情况、发生原因及预防措施。结果再次剖宫产组产妇术中出血率为14%,平均出血量为(491.2±210.4)ml,首次剖宫产组产妇术中出血率为7%,平均出血量为(298.9±230.1)ml,对比差异均具有统计学意义(P<0.05)。首次剖宫产组因子宫收缩乏力、胎盘因素及剖宫产术后再次怀孕时间、手术切口撕裂等因素出现术中出血的患者少于再次剖宫产组(P<0.05)。结论对再次剖宫产术中出血原因进行总结分析,采取积极预防措施能够有效控制术中出血,提高临床治疗效果。
Objective To analyze the causes and preventive measures of bleeding after cesarean section. Methods One hundred and twenty cases of cesarean section were selected as the second cesarean section. 120 cases of the first cesarean section were selected as the first cesarean section. Bleeding in the two groups compared cesarean section, causes and preventive measures. Results In the second cesarean section, the bleeding rate was 14% and the average bleeding volume was (491.2 ± 210.4) ml. In the first cesarean section, the bleeding rate was 7% and the average bleeding volume was (298.9 ± 230.1) ml , The differences were statistically significant (P <0.05). The first cesarean section due to uterine atony, placental factors and re-pregnancy after cesarean section, surgical incision and other factors bleeding intraoperative bleeding less than the second cesarean section group (P <0.05). Conclusions The reasons for the recurrence of cesarean section were analyzed retrospectively. Taking active preventive measures could effectively control intraoperative bleeding and improve the clinical effect.