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目的探讨剖宫产术中大出血的原因及应对措施。方法对原阳县红十字医院妇产科2010年3月至2012年3月21例剖宫产术中大出血产妇的临床资料进行回顾性分析,总结术中大出血的原因及措施。结果出血的主要原因为宫缩乏力16例,前置胎盘3例,尤其是胎盘附着于子宫前壁下段时,严重的子宫下段撕裂伤所占比例较低,但出血量多,术中应注意预防严重子宫下段撕裂伤。结论术中及时应用促子宫收缩药物,熟练掌握剖宫产手术技巧,对预防剖宫产术中大出血尤为重要。
Objective To investigate the causes and countermeasures of massive bleeding in cesarean section. Methods The clinical data of maternal bleeding in cesarean section from March 2010 to March 2012 in Yuanyang Red Cross Hospital were retrospectively analyzed. The causes and measures of intraoperative bleeding were summarized. Results The main causes of bleeding were uterine atony in 16 cases and placenta previa in 3 cases. Especially when the placenta was attached to the anterior segment of the anterior uterus, the rate of severe uterine laceration was lower, but the amount of bleeding was more. Pay attention to prevent severe lower uterine laceration injury. Conclusion Intraoperative timely application of uterine contraction drugs, proficiency in cesarean section surgical techniques, prevention of bleeding in cesarean section is particularly important.