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1994～1996年,我们采用凝血酶治疗难治性产后流血28例,取得良好效果。 临床资料:本组初产妇21例,经产妇7例;年龄24～38岁。其中顺产8例,单纯会阴侧切助产7例,胎吸助产11例,剖宫产术后2例。产后2小时阴道流血600～1000ml(称重法测量)。因宫缩乏力致宫腔积血9例,子宫下段及宫颈不收缩引起出血15例,宫颈糜烂面出血4例。胎盘娩出后阴道流血量增加,宫底高度上升,经按摩子宫,注射催产素及麦角新碱,纱布压迫止血无效或效果不明显。 方法与结果:排除软产道裂伤及胎盘胎膜残留
From 1994 to 1996, we used thrombin to treat refractory postpartum bleeding in 28 cases and achieved good results. Clinical data: 21 cases of primiparas in this group, the maternal 7 cases; aged 24 to 38 years old. Including 8 cases of natural delivery, perineal episiotomy alone 7 cases, 11 cases of fetal abortion, 2 cases after cesarean section. 2 hours postpartum vaginal bleeding 600 ~ 1000ml (weighing method). Due to uterine contractions caused by uterine hemorrhage in 9 cases, the uterus and cervix did not contract the cause of bleeding in 15 cases, 4 cases of cervical erosion surface bleeding. Vaginal bleeding after placental delivery increased, the height of the palace floor increased by the uterus massage, oxytocin and ergometrine injection, gauze compression hemostasis ineffective or no effect. Methods and Results: Exclusion of soft birth canal laceration and residual placental membranes