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术中大出血是剖宫产最常见的并发症之一。由于孕妇血液稀释及血容量增加,少量出血对产妇影响不大,尚能代偿,而大量出血可危及产妇生命。Wilcox报道剖宫产术中平均出血量约1000ml。本人收集我院1989年1月至1998年12月剖宫产术中出血量≥1000ml的病例145例进行总结分析。 1 临床资料 1989年1月至1998年12月我院共进行剖宫产10066例,其中术中出血量≥1000ml者145例,发生率1.44％。145例病人均行腹膜内剖宫产,其中腹式子宫下段横切口式118例,腹式子宫下段纵切口式8例,腹式子宫体部纵切式9例,子宫破裂修补术9例,子宫下段倒“T”型切口1例。麻醉方式:
Intraoperative hemorrhage is one of the most common complications of cesarean section. Due to blood thinning and blood volume increase in pregnant women, a small amount of bleeding has little effect on the mothers, still able to compensate, and a large number of bleeding can endanger the lives of mothers. Wilcox reported an average of about 1000 ml of bleeding during cesarean section. I collected from January 1989 to December 1998 in cesarean section bleeding ≥ 1000ml case of 145 cases were analyzed. 1 Clinical data January 1989 to December 1998 in our hospital a total of 10066 cases of cesarean section, of which 145 cases of intraoperative bleeding ≥ 1000ml, the incidence rate of 1.44%. 145 patients underwent intraperitoneal cesarean section, including abdominal uterine segment of the transverse incision 118 cases, abdominal uterine segment of the longitudinal incision in 8 cases, abdominal uterine longitudinal incision in 9 cases, 9 cases of uterine rupture repair, Lower section of the uterus down “T” incision in 1 case. Anesthesia