海南医学
海南醫學
해남의학
HAINAN MEDICAL JOURNAL
2014年
11期
1665-1667
,共3页
未临产剖宫产%产后出血%自制水囊%压迫止血
未臨產剖宮產%產後齣血%自製水囊%壓迫止血
미임산부궁산%산후출혈%자제수낭%압박지혈
Not in labor caesarean section%Postpartum hemorrhage%Self-made small water sac%Compression hemostasis
目的：探讨自制水囊宫腔压迫治疗未临产剖宫产术后产后出血的疗效。方法选择未临产（宫口开0~3 cm）剖宫产术中及产后出血病例52例，将自制水囊送入宫底部，注入37℃~40℃生理盐水至宫腔不出血为止，24 h后取出，分析操作时间、显效时间、填塞物留置时间、住院时间、术中出血量、术后2 h出血量、术后12 h出血量、取出过程出血量、取出后24 h出血量和取出后48 h出血量和术后感染发生率。结果自制水囊压迫宫腔止血法均能有效的止血，留置时间15~18 h，取出水囊后宫缩恢复良好，阴道流血量较少；24 h~10 d内，每日测体温4次，有9例体温达38℃~38.5℃，经常规给予抗生素后体温恢复正常。结论自制水囊压迫治疗未临产剖宫产术中、剖宫产术后产后出血，尤其对剖宫产术后宫口未开或宫口开0~3 cm术中未放置宫腔纱条又没得到有效救治时，均能有效防治产后出血，值得在基层医院推广。
目的：探討自製水囊宮腔壓迫治療未臨產剖宮產術後產後齣血的療效。方法選擇未臨產（宮口開0~3 cm）剖宮產術中及產後齣血病例52例，將自製水囊送入宮底部，註入37℃~40℃生理鹽水至宮腔不齣血為止，24 h後取齣，分析操作時間、顯效時間、填塞物留置時間、住院時間、術中齣血量、術後2 h齣血量、術後12 h齣血量、取齣過程齣血量、取齣後24 h齣血量和取齣後48 h齣血量和術後感染髮生率。結果自製水囊壓迫宮腔止血法均能有效的止血，留置時間15~18 h，取齣水囊後宮縮恢複良好，陰道流血量較少；24 h~10 d內，每日測體溫4次，有9例體溫達38℃~38.5℃，經常規給予抗生素後體溫恢複正常。結論自製水囊壓迫治療未臨產剖宮產術中、剖宮產術後產後齣血，尤其對剖宮產術後宮口未開或宮口開0~3 cm術中未放置宮腔紗條又沒得到有效救治時，均能有效防治產後齣血，值得在基層醫院推廣。
목적：탐토자제수낭궁강압박치료미임산부궁산술후산후출혈적료효。방법선택미임산（궁구개0~3 cm）부궁산술중급산후출혈병례52례，장자제수낭송입궁저부，주입37℃~40℃생리염수지궁강불출혈위지，24 h후취출，분석조작시간、현효시간、전새물류치시간、주원시간、술중출혈량、술후2 h출혈량、술후12 h출혈량、취출과정출혈량、취출후24 h출혈량화취출후48 h출혈량화술후감염발생솔。결과자제수낭압박궁강지혈법균능유효적지혈，류치시간15~18 h，취출수낭후궁축회복량호，음도류혈량교소；24 h~10 d내，매일측체온4차，유9례체온체38℃~38.5℃，경상규급여항생소후체온회복정상。결론자제수낭압박치료미임산부궁산술중、부궁산술후산후출혈，우기대부궁산술후궁구미개혹궁구개0~3 cm술중미방치궁강사조우몰득도유효구치시，균능유효방치산후출혈，치득재기층의원추엄。
Objective To evaluate the effect of the self-made water sac on caesarean section not in labor or postpartum hemorrhage. Methods Chose 52 cases not in labor (Palace mouth open 0~3 cm) of cesarean section and postpartum hemorrhage, put the water pocket into the palace at the bottom, inject 37℃~40℃physiological saline to the uterine cavity until the bleeding stopping, and remove the water pocket after 24 hours, Operation time, action time, stuffing the indwelling time, hospitalization, bleeding volume (including intraoperation, 2 h and 12 h after operation, re-move the process and 24 h and 48 h after the removation) and the incidence of postoperative infection were analysised. Results Self-made water sac compression uterine cavity haemostasis effective hemostatic, indwelling time 15 to 18 hours, take out the water sac harem recovered well, less the amount of vaginal bleeding; within 10 days after 24 hours-measuring temperature 4 times a day, there were 9 cases of temperature of 38℃~38.5℃, after conventional given antibiotics, body temperature returned to normal. Conclusion The self-made water sac was the fast, safe, re-liable, economic treatment, which can effectively prevent postpartum hemorrhage. Especially suitable for the cervix was not open or open 0~3cm after caesarean section, and not placed intrauterine ribbon gauze during the surgery. It is worth popularizing in primary hospitals.
