论文部分内容阅读
目的探讨产后出血导致的子宫切除的病因和采取手术时机,以及预防和治疗措施。方法选取我院妇科收治的分娩患者总数2321人次,发生产后出血患者139例(5.99%),产后出血经各种止血处理无效,最终致子宫切除者11例(7.9%)。并对其病因及治疗情况进行了统计和整理。结果导致子宫切除的主要原因,依次为胎盘、子宫、凝血功能、软产道等因素。行子宫次全切除术者7例(63.63%),子宫全切除术者4例(36.36%),术后患者总出血量大于3000ml者有1例(9.1%),发生失血性休克有3例(27.27%)。结论产后出血致子宫切除的危险因素主要有,剖宫产后、瘢痕子宫、产妇高年龄、前置胎盘等。子宫切除治疗是治疗和控制产后出血并挽救孕产妇生命的一项极其重要的措施。临床中要加强对孕产妇的围产期保健宣传,以达到防止产后并发症。
Objective To investigate the etiology of hysterectomy caused by postpartum hemorrhage and the timing of operation, as well as the preventive and therapeutic measures. Methods The total number of childbirth patients admitted to our hospital was 2321, with 139 cases (5.99%) having postpartum hemorrhage. The postpartum hemorrhage was ineffective by various hemostasis and finally resulted in hysterectomy in 11 cases (7.9%). And the etiology and treatment of the statistics and finishing. The main reason leading to hysterectomy, followed by placenta, uterus, coagulation, soft birth canal and other factors. Seven cases (63.63%) underwent subtotal hysterectomy, four cases (36.36%) underwent total hysterectomy, one case (9.1%) with postoperative total blood loss of more than 3000 ml and three cases of hemorrhagic shock (27.27%). Conclusion The main risk factors for hysterectomy caused by postpartum hemorrhage are cesarean section, scar uterus, high age of maternal and placenta previa. Hysterectomy is an extremely important measure to treat and control postpartum hemorrhage and save maternal life. Clinically, to strengthen the perinatal care of pregnant women to publicity, in order to achieve to prevent postpartum complications.