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目的探讨胎盘胎膜组织残留引起晚期产后出血的临床处理方法。方法收集和平区妇产科医院在2013年12月-2014年12月期间收治的40例因胎盘胎膜组织残留所致的晚期产后出血患者经药物和手术两种方法进行治疗资料分析。结果本组40例患者中采用药物治疗的患者有10例,有7例患者在治疗后2周内阴道流血停止,成功率为70.0%,另外3例患者在药物治疗失败后因阴道流血增多转行清宫术治愈。另外30例患者手术治愈。结论胎盘胎膜组织残留所致的晚期产后出血可以首选生化颗粒冲剂和米非司酮进行药物治疗,清宫术作为补充治疗,是有效且重要的手段。临床可根据实际情况,具体分析,选择合适的治疗手段。
Objective To investigate the clinical treatment of late postpartum hemorrhage caused by residual fetal membranes. Methods Forty patients with advanced postpartum hemorrhage due to residual fetal placenta tissue collected during the period from December 2013 to December 2014 in Heping District Obstetrics and Gynecology Hospital were collected and analyzed by two methods of medicine and surgery. Results Of the 40 patients in this group, 10 were treated with drugs, 7 of them stopped vaginal bleeding within 2 weeks after treatment, with a success rate of 70.0%. The other 3 patients switched to vaginal bleeding after the failure of drug treatment Cure cure Another 30 patients were surgically cured. Conclusion Late fetal postpartum hemorrhage caused by residual fetal placenta tissue can be the first choice of biochemical granules granules and mifepristone for drug treatment, curettage as a supplementary treatment is an effective and important means. Clinical according to the actual situation, the specific analysis, select the appropriate treatment.