CAJ | 학술논문

目的探讨产后出血子宫切除的病因及处理措施。方法回顾性分析20例产科子宫切除病例的病因及诊治过程。结果产后出血子宫切除的主要有宫缩乏力、胎盘因素(早剥、粘连、植入、嵌顿等)、产道裂伤、凝血功能障碍四大病因[1]；产后出血子宫切除发生率与产前检查、孕产次、产科并发症的诊治水平密切相关。结论加强围生期保健，密切观察产程，防治产科并发症、积极处理，保守治疗无效时立即切除子宫，可有效治疗急性产后大出血，挽救产妇生命。降低孕产妇死亡率。
목적탐토산후출혈자궁절제적병인급처리조시。방법회고성분석20례산과자궁절제병례적병인급진치과정。결과산후출혈자궁절제적주요유궁축핍력、태반인소(조박、점련、식입、감돈등)、산도렬상、응혈공능장애사대병인[1]；산후출혈자궁절제발생솔여산전검사、잉산차、산과병발증적진치수평밀절상관。결론가강위생기보건，밀절관찰산정，방치산과병발증、적겁처리，보수치료무효시립즉절제자궁，가유효치료급성산후대출혈，만구산부생명。강저잉산부사망솔。
Objective To investigate the cause of postpartum hemorrhage hysterectomy and treatment measures. Methods A retrospective analysis of 20 cases of obstetric hysterectomy cases the cause and treatment process. Results postpartum hemorrhage hysterectomy are uterine inertia, placenta (abruption, adhesions, implants, incarcerated, etc.), birth canal laceration, four major causes coagulation dysfunction [1]; hysterectomy incidence of postpartum hemorrhage and productivity before the examination, motherhood, diagnosis and treatment of obstetric complications are closely related. Conclusion Strengthening perinatal care, close observation of the birth process, preventing obstetric complications, active treatment, conservative treatment fails Immediate removal of the uterus, which can ef ectively treat acute postpartum hemorrhage, save maternal life. Reducing maternal mortality.