论文部分内容阅读
目的:探讨剖宫产术后产后大出血再次开腹止血的原因、时机及止血的方法。方法:回顾性分析我院近8年来剖宫产术后再次开腹止血的13例患者的临床资料,总结手术后出血的原因、再次开腹距剖宫产术的时间、手术止血的方式及术后结局。结果:8年来剖宫产术后再次开腹发生率占剖宫产的1.54‰,再次开腹的主要原因为术后宫缩乏力及胎盘因素,手术止血的方式主要为子宫切除术。结论:剖宫产术后出现产后大出血经药物治疗无效后应果断再次开腹止血,根据病员一般情况选择适宜的手术方式,抢救产妇生命,降低产妇死亡率。
Objective: To investigate the causes, timing and hemostasis of postpartum hemorrhage after open cesarean section. Methods: The clinical data of 13 patients who underwent open cesarean section after cesarean section in our hospital during past eight years were analyzed retrospectively. The causes of postoperative bleeding, the time of open cesarean section again, the way of operation bleeding and Postoperative outcome. Results: The rate of cesarean section after cesarean section in 8 years was 1.54 ‰ of cesarean section. The main reason for open laparotomy again was postoperative uterine atony and placental factors. The main method of surgical hemostasis was hysterectomy. Conclusions: Postpartum hemorrhage after cesarean section should be decisively opened again to stop the bleeding after the drug treatment is ineffective. According to the general condition of the patient, the appropriate surgical method is selected to save the life of the woman and reduce the maternal mortality rate.