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由于分娩造成产道深部血管破裂,血液不能外流,积聚于局部形成血肿称为产道血肿。可以发生于外阴、阴道、阔韧带、甚至沿腹膜后上及肾区,系较为少见并发症,其发生率约为1∶259～1∶442,严重者致失血性休克,危及生命。现就产道血肿的有关问题探讨如下。 1 产道血肿的类型一般按血肿发生的部位分型:①外阴血肿:血肿局限于外阴部阴唇组织内,局部肿胀隆起,皮肤或粘膜表面发紫,时而可见瘀斑,肉眼观察即可发现;②外阴阴道血肿:血肿自阴唇扩展至阴道旁组织,常累及会阴及坐骨直肠窝,肉眼仅能发现外阴局部血肿,③阴道血肿
As a result of childbirth caused deep rupture of blood vessels, blood can not flow, accumulate in the local formation of hematoma called the birth canal hematoma. Can occur in the vulva, vagina, broad ligament, and even along the retroperitoneal and renal area, the Department of relatively rare complications, the incidence of about 1:259 ~ 1:442, severe hemorrhagic shock, life-threatening. Relevant issues on the production of hematoma are discussed below. 1 genital hematoma type generally occur according to the site of hematoma type: ① vulvar hematoma: hematoma confined to genital labia, local swelling and bulging, skin or mucosal surface of purple, sometimes visible ecchymosis, the naked eye can be found; Vulva vaginal hematoma: hematoma extends from the labia to the side of the vagina tissue, often involving the perineum and ischial rectal fossa, the vulva can only find local hematoma, ③ vaginal hematoma