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目的:探讨急症子宫切除于产科大出血患者的临床治疗效果。方法:本次研究中,随机抽取我院于2013年3月至2016年5月期间接诊的20例子宫切除患者,他们均为急症产科大出血,符合DIC诊断标准。结果:20例患者中有12例初产妇,8例经产妇,两者比较满足P<0.05,患者接受保守治疗时大出血情况并没有得到改善,胎盘粘连患者3例,DIC患者1例,子宫破裂1例,宫缩乏力12例,胎盘早剥2例,剖宫产切口感染1例,20例患者接受子宫切除手术之后大出血得以有效控制,患者前后满足P<0.05,存在统计学意义。结论:产科大出血应用急症子宫切除效果极为显著,降低患者出血量,提升治疗有效率,值得临床推广。
Objective: To investigate the clinical effect of emergency hysterectomy in patients with obstetric hemorrhage. METHODS: Twenty cases of hysterectomies admitted from March 2013 to May 2016 in our hospital were randomly selected. All of them were emergency obstetric haemorrhage and met the diagnostic criteria of DIC. Results: There were 12 cases of primiparas and 8 cases of maternal complications in 20 cases. The two cases met the criteria of P <0.05. The patients who received conservative treatment did not have any major bleeding. There were 3 cases of placenta adhesion, 1 case of DIC, 1 case, uterine inertia in 12 cases, placental abruption in 2 cases, cesarean section incision infection in 1 case, 20 cases of patients underwent hysterectomy after bleeding can be effectively controlled, before and after the patient to meet P <0.05, statistically significant. Conclusion: Obstetric hemorrhage emergency hysterectomy effect is extremely significant, reduce the amount of bleeding in patients and improve the treatment efficiency, it is worth clinical promotion.