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随着剖宫产率的增加,更应重视术中及术后并发症的发生,该并发症与产妇术前情况和剖宫产指征的掌握有关。现仅就主要并发症及其防治分述如下。失血剖腹产产后出血率约为经阴道分娩者的5倍余,为重要的常见合并症,可发生在术中和术后,如合并术前出血量多者,则情况更为严重。术中出血原因:①子宫切口损伤子宫血管丛。足月妊娠子宫往往向右侧旋转,而使子宫下段左侧偏于中线,当切口向两侧延长时,就可能损伤子宫血管丛。②切割了较大血管窦;③娩胎头时撕裂子宫壁。造成子宫切口T形延长;④子宫收缩乏力。术后近期出血原因:①继续性宫缩乏力;②部分
With the increase of cesarean section rate, more attention should be paid to the occurrence of intraoperative and postoperative complications, which is related to preoperative maternal preoperative and indications of cesarean section. Now only the main complications and prevention are described below. Hemorrhage Caesarean section postpartum hemorrhage rate of about vaginal delivery more than 5 times, is an important common complication can occur during surgery and postoperative, such as the amount of bleeding before the merger, the situation is more serious. Causes of intraoperative bleeding: uterine incision uterine vascular plexus injury. Full-term pregnancy uterus is often rotated to the right, leaving the lower part of the lower uterine deviated to the midline, when the incision extended to both sides, it may damage the uterine vascular plexus. ② cut a larger sinus; ③ when the first tearing of the uterine wall of fetal head. Uterine incision caused by T-shaped extension; ④ uterine atony. Causes of immediate postoperative bleeding: ① persistent uterine inertia; ② part