论文部分内容阅读
目的探讨产科急症子宫切除术在抢救产科大出血中的应用价值。方法采用回顾性资料分析方法,对我院1997～2007年间收治的12例因产科急症行子宫切除术患者的临床资料进行分析。结果12例均为经保守治疗不能控制的产科大出血患者,DIC6例(其中胎盘早剥4例,妊娠合并高血压1例,羊水栓塞1例),胎盘粘连3例,宫缩乏力、子宫破裂、剖宫产术后晚期子宫切口感染各1例。最后经行急症子宫切除术而痊愈出院。相关因素分析显示,孕产次、分娩方式等因素与产科急症子宫切除术相关。结论产科急症子宫切除术是治疗急性产科大出血的有效措施之一。
Objective To investigate the value of emergency hysterectomy in obstetric hemorrhage. Methods The retrospective data analysis method was used to analyze the clinical data of 12 patients undergoing hysterectomy during obstetric emergencies from 1997 to 2007. Results All 12 cases were obstetric patients with massive bleeding after uncontrolled treatment. There were 6 cases of DIC (including 4 cases of placental abruption, 1 case of pregnancy complicated with hypertension and 1 case of amniotic fluid embolism), 3 cases of placental adhesion, uterine atony, One case of late uterine incision infection after cesarean section. Finally, emergency hysterectomy and discharged. Analysis of relevant factors, maternity times, mode of delivery and other factors associated with obstetric emergency hysterectomy. Conclusion Obstetric emergency hysterectomy is one of the effective measures to treat acute obstetric hemorrhage.