中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
3期
123-125
,共3页
子宫下段收缩乏力%产后出血%治疗方法
子宮下段收縮乏力%產後齣血%治療方法
자궁하단수축핍력%산후출혈%치료방법
The lower uterine segment atony%Postpartum hemorrhage%Treatment
目的：通过分析子宫下段收缩乏力导致的产后出血病例的特点，总结出子宫下段收缩乏力引起产后出血的具体治疗方法，为以后产科对子宫下段收缩乏力致产后出血的预防、监测、治疗提供依据，从而降低其发病率和死亡率。方法：回顾本院2009年6月-2013年5月收治的因子宫下段收缩乏力致产后出血的住院分娩产妇12例的临床资料，经过一种或几种方法联合治疗，观察术后24 h内出血量及相关指标，分析其发病特点、处理措施及预后。结果：12例患者经过治疗，均取得满意效果，预后良好，均保留子宫并痊愈出院，产后42 d及3个月随访无异常。结论：子宫下段收缩乏力比较子宫体收缩乏力的研究报道相对较少，一旦出现，容易被忽略，出血量大并且非常凶险，如抢救不及时、措施不到位可危及产妇健康及生命。掌握至少一种或几种治疗方法联合应用可减少产后出血的发生，减少病死率。
目的：通過分析子宮下段收縮乏力導緻的產後齣血病例的特點，總結齣子宮下段收縮乏力引起產後齣血的具體治療方法，為以後產科對子宮下段收縮乏力緻產後齣血的預防、鑑測、治療提供依據，從而降低其髮病率和死亡率。方法：迴顧本院2009年6月-2013年5月收治的因子宮下段收縮乏力緻產後齣血的住院分娩產婦12例的臨床資料，經過一種或幾種方法聯閤治療，觀察術後24 h內齣血量及相關指標，分析其髮病特點、處理措施及預後。結果：12例患者經過治療，均取得滿意效果，預後良好，均保留子宮併痊愈齣院，產後42 d及3箇月隨訪無異常。結論：子宮下段收縮乏力比較子宮體收縮乏力的研究報道相對較少，一旦齣現，容易被忽略，齣血量大併且非常兇險，如搶救不及時、措施不到位可危及產婦健康及生命。掌握至少一種或幾種治療方法聯閤應用可減少產後齣血的髮生，減少病死率。
목적：통과분석자궁하단수축핍력도치적산후출혈병례적특점，총결출자궁하단수축핍력인기산후출혈적구체치료방법，위이후산과대자궁하단수축핍력치산후출혈적예방、감측、치료제공의거，종이강저기발병솔화사망솔。방법：회고본원2009년6월-2013년5월수치적인자궁하단수축핍력치산후출혈적주원분면산부12례적림상자료，경과일충혹궤충방법연합치료，관찰술후24 h내출혈량급상관지표，분석기발병특점、처리조시급예후。결과：12례환자경과치료，균취득만의효과，예후량호，균보류자궁병전유출원，산후42 d급3개월수방무이상。결론：자궁하단수축핍력비교자궁체수축핍력적연구보도상대교소，일단출현，용역피홀략，출혈량대병차비상흉험，여창구불급시、조시불도위가위급산부건강급생명。장악지소일충혹궤충치료방법연합응용가감소산후출혈적발생，감소병사솔。
Objective:To analyze cases characteristics of the postpartum hemorrhage caused by lower uterine segment atony,to sum up the specific treatments,provide the basis for the prevention,monitoring,treatment in the future and reduce its incidence and mortality. Method:Reviewed the clinical data of 12 cases of childbirth puerpera were due to the lower uterine segment contraction fatigue cause of postpartum hemorrhage from June 2009 to May 2013 in our hospital,used one or several methods of combination therapy,observed hemorrhage volume after 24 hours and related indicators, and analyzed the clinical characteristics,treatment and prognosis of measures. Result:All patients had a satisfactory results,prognosis was good. The uterus are both preserved and the patients were cured. Postnatal 42 days and follow-up 3 months had no abnormalities. Conclusion:The lower uterine segment uterine atony relatively few studies have reported. Once happened,it will be easily ignored. Large amount of bleeding appears and the situation becomes very dangerous. If rescue is not timely and measures are not in place,maternal health is threatened. Knowledge of at least one or several treatments in combination can reduce the incidence of postpartum hemorrhage and reduce mortality.
