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目的:探讨前置胎盘剖宫产术中出现大出血行宫腔纱条填塞止血的效果。方法:回顾2年内43例前置胎盘剖宫产术中大出血患者,分析术中出血原因,宫腔纱条填塞指征、方法。观察术后恢复情况,并与同期前置胎盘剖宫产术中出现出血未进行宫腔纱条填塞的40例进行比较,做回顾性分析。结果:宫腔纱条填塞组止血效果好,全部保留子宫,术后无感染,无晚期产后出血的发生。结论:前置胎盘剖宫产术中大出血患者宫腔纱条填塞止血效果好。
Objective: To investigate the effect of massive hemorrhage during cesarean section in preplacental placenta to fasten the gauze of uterine cavity. Methods: Forty-three patients with major bleeding in cesarean section during 2 years were retrospectively analyzed. The causes of intraoperative bleeding, indications and methods of packing of uterine gauze were analyzed. The postoperative recovery was observed and compared with the 40 patients who had not had uterine gauze packing in the placenta previa during the same period of time and were retrospectively analyzed. Results: Uterine gauze packing group had a good hemostatic effect, all retained the uterus, no postoperative infection, no postpartum hemorrhage occurred. Conclusion: The placenta previa cesarean section in patients with bleeding hemostatic effect of gauze packing.