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目的:分析剖剖宫产手术后晚期产后出血的发病原因和治疗方法。方法:选择重庆育恩联合妇产医院于2014年8月至2015年10月收治的剖宫产手术后晚期产后出血患者40例,回顾性分析其发病原因以及治疗方法。结果:40例患者经过分析可知,其出血因素为子宫切口感染,子宫切口裂开,愈合状态不佳,无良好的子宫复旧状态、子宫内膜炎以及胎膜蜕膜出现残留。12.5%的患者出血时间1周以内,17.5%的患者出血时间为1~2周,52.5%的患者出血时间为3~6周,17.5%的患者的出血时间为6周以上,同时经保守治疗后,32例患者治疗成功,成功率为80%。结论:剖宫产术的严重并发症为晚期产后出血,医护人员应将手术能力水平予以提升,从而在手术过程中进行止血,此外还应避免产褥感染。
Objective: To analyze the causes and treatment of late postpartum hemorrhage after cesarean section operation. Methods: Forty patients with late postpartum hemorrhage after cesarean section operation were selected from Chongqing Yayun Joint Maternity Hospital from August 2014 to October 2015, and their causes and treatment were retrospectively analyzed. Results: 40 patients after analysis shows that the bleeding factors for uterine incision infection, uterine incision rupture, poor healing state, no good uterine involution status, endometritis and fetal membranes decidual rupture. In 12.5% of patients within 1 week of bleeding, in 17.5% of patients bleeding was 1 to 2 weeks, in 52.5% of patients bleeding was 3 to 6 weeks, in 17.5% of patients bleeding was more than 6 weeks, while conservative treatment After 32 patients were successfully treated with a success rate of 80%. Conclusion: The serious complication of cesarean section is late postpartum hemorrhage. The medical staff should raise the level of surgical ability so as to stop the bleeding during the operation. In addition, puerperal infection should be avoided.