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目的探讨宫腔纱条填塞术在剖宫产术中大出血时的止血效果。方法对25例剖宫产术中大出血患者,经用缩宫剂、手法按摩子宫、肠线“8”字缝扎开放血窦、缝扎子宫动脉上行支无效,出血量≥1000ml者,用宫腔填塞纱条术止血,观察其止血效果。结果24例止血效果满意,保留了子宫,有效率96%。结论宫腔填塞纱条术是治疗剖宫产术中大出血的有效方法,具有方法简单,止血速度快,效果明显,保留子宫的优点。
Objective To investigate the hemostatic effect of intrauterine gauze packing in case of massive hemorrhage in cesarean section. Methods Twenty-five cases of bleeding in cesarean section were treated by uterine contraction and manual massage of the uterus and gut of “8” suture to open the blood sinus and suture the uterine artery. The amount of bleeding was more than or equal to 1000 ml. Cavity gauze surgery to stop bleeding, to observe the hemostatic effect. Results 24 patients satisfied with the hemostatic effect, retained the uterus, the efficiency of 96%. Conclusion Intrauterine plug gauze is an effective method for treating massive hemorrhage in cesarean section. It has the advantages of simple method, fast bleeding, obvious effect and uterine retention.