中国卫生产业
中國衛生產業
중국위생산업
CHINA HEALTH INDUSTRY
2014年
33期
13-14
,共2页
子宫切除%羊水栓塞%急救
子宮切除%羊水栓塞%急救
자궁절제%양수전새%급구
Hysterectomy%Amniotic fluid embolism%Emergency
目的：探讨产科剖宫产术中行子宫切除术的原因、必要性以及手术操作的注意事项。方法回顾分析2008年1月—2013年12月于该院行剖宫产手术，术中行子宫切除术的20例患者。结果本文20例患者于剖宫产术中行子宫切除术，占总分娩人数的0.028%。其中10例因胎盘因素行子宫切除，占50%；5例因宫缩乏力、难治性弥散性血管内凝血行子宫切除，占25%；3例因羊水栓塞行子宫切除，占15%；因子宫破裂、子宫畸形行子宫切除的患者各1例，分别占子宫切除总数的5%。结论剖宫产术中根据病因采取对应的止血方式后，如仍无法控制出血、病情危急时应果断行子宫切除术以挽救患者生命。
目的：探討產科剖宮產術中行子宮切除術的原因、必要性以及手術操作的註意事項。方法迴顧分析2008年1月—2013年12月于該院行剖宮產手術，術中行子宮切除術的20例患者。結果本文20例患者于剖宮產術中行子宮切除術，佔總分娩人數的0.028%。其中10例因胎盤因素行子宮切除，佔50%；5例因宮縮乏力、難治性瀰散性血管內凝血行子宮切除，佔25%；3例因羊水栓塞行子宮切除，佔15%；因子宮破裂、子宮畸形行子宮切除的患者各1例，分彆佔子宮切除總數的5%。結論剖宮產術中根據病因採取對應的止血方式後，如仍無法控製齣血、病情危急時應果斷行子宮切除術以輓救患者生命。
목적：탐토산과부궁산술중행자궁절제술적원인、필요성이급수술조작적주의사항。방법회고분석2008년1월—2013년12월우해원행부궁산수술，술중행자궁절제술적20례환자。결과본문20례환자우부궁산술중행자궁절제술，점총분면인수적0.028%。기중10례인태반인소행자궁절제，점50%；5례인궁축핍력、난치성미산성혈관내응혈행자궁절제，점25%；3례인양수전새행자궁절제，점15%；인자궁파렬、자궁기형행자궁절제적환자각1례，분별점자궁절제총수적5%。결론부궁산술중근거병인채취대응적지혈방식후，여잉무법공제출혈、병정위급시응과단행자궁절제술이만구환자생명。
Objective To investigate the causes, obstetric cesarean hysterectomy surgery is necessary, and operation precautions in operation. Methods From 2008 January to 2013 December in our hospital of caesarean operation, 20 cases of hysterectomy pa-tients. Results In the 20 patients with cesarean hysterectomy surgery, total labor number 0.028%. Among 10 cases of hysterectomy due to placental factors, accounting for 50%;5 cases of uterine atony, refractory disseminated intravascular coagulation hysterecto-my, accounted for 25%; 3 cases of amniotic fluid embolism underwent hysterectomy, accounted for 15%, due to rupture of the uterus, uterine malformation underwent hysterectomy patients in all 1 cases, accounted for the uterus excision of 5% of the total. Conclusion Cesarean section according to the cause and take corresponding after hemostasis, if still unable to control bleeding, in critical condition should be decisive for hysterectomy in order to save the lives of patients.
