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目的探讨难治性阴道分娩产后出血的有效治疗方法。方法总结分析本院2006年3月~2013年11月发生的40例难治性阴道分娩产后出血病例,按治疗方法分为A、B两组,A组为单纯药物治疗组,B组为药物治疗+宫腔填塞组,就阴道出血量及输血率进行比较。结果阴道出血量A组>B组。结论①双胎妊娠、胎盘粘连、巨大儿是难治性产后出血的高危因素。②宫腔填塞是治疗难治性阴道分娩产后出血最行之有效的方法。
Objective To investigate the effective treatment of postpartum hemorrhage in refractory vaginal delivery. Methods A total of 40 cases of intractable vaginal delivery postpartum hemorrhage occurred in our hospital from March 2006 to November 2013 were analyzed. The patients were divided into A and B groups according to the treatment method. Group A was treated with drugs alone and group B was treated with drugs Treatment + intrauterine packing group, vaginal bleeding and transfusion rates were compared. Results Vaginal bleeding group A> B group. Conclusion ① twin pregnancy, placenta accreta, giant children are refractory postpartum hemorrhage risk factors. ② uterine packing is the most effective treatment of intractable vaginal delivery postpartum hemorrhage.