CAJ | 학술논문

目的：探讨剖宫产术中宫腔纱条填塞术在控制难治性出血的应用效果。方法选取2011年1月—2013年1月在该院产科剖宫产手术中子宫出血>1000 mL的产妇64例，其中36例宫腔纱条填塞止血，采用甲硝唑液浸湿挤干的高温消毒纱条一根长5 m，宽8 cm，厚5层，有序均匀压紧填充宫腔不留死腔。结果最短术后20 h、最长术后40 h取出纱条，平均放置（24.3±3.5)h，纱条取出无困难。取出的纱条全部血染22例，纱条部分血染14例，1例术后病率及时取出纱条加强抗感染治疗好转，36例术后6周随访子宫复旧良好，其中15例未失访者于4~11月月经复潮。结论宫腔纱条填塞术控制剖宫产难治性出血临床应用效果显著，患者术后恢复良好，值得在基层产科临床中广泛推广应用。
목적：탐토부궁산술중궁강사조전새술재공제난치성출혈적응용효과。방법선취2011년1월—2013년1월재해원산과부궁산수술중자궁출혈>1000 mL적산부64례，기중36례궁강사조전새지혈，채용갑초서액침습제간적고온소독사조일근장5 m，관8 cm，후5층，유서균균압긴전충궁강불류사강。결과최단술후20 h、최장술후40 h취출사조，평균방치（24.3±3.5)h，사조취출무곤난。취출적사조전부혈염22례，사조부분혈염14례，1례술후병솔급시취출사조가강항감염치료호전，36례술후6주수방자궁복구량호，기중15례미실방자우4~11월월경복조。결론궁강사조전새술공제부궁산난치성출혈림상응용효과현저，환자술후회복량호，치득재기층산과림상중엄범추엄응용。
Objective To investigate the uterine cesarean section surgery in the application of gauze effect control intractable bleeding. Methods January 2011-January 2013, 5 197 cases of cesarean section in our hospital obstetrics, bleeding>1000 ml 64 cases, including 36 cases of uterine hemostatic gauze, using metronidazole squeezed the pasteurized liquid soaked gauze a length of 5 m, width 8 cm, 5 layers thick, orderly pressed uniformly filling the uterine cavity do not stay dead. Results The shortest post-operative 20 hours, the longest gauze removed after 40 hours, an average of (24.3±3.5)hours to place sliver removed without diffi-culty. All bloody gauze removed in 22 cases, 14 cases of bloody gauze part, one case of postoperative morbidity promptly removed gauze strengthen anti-infection treatment improved, 36 cases of uterine involution after 6 weeks of follow-up well, including 15 cases without conceding respondents in the April-November menstruation. Conclusion The surgical gauze control cesarean uterine bleeding refractory significant clinical effect, worthy of clinical obstetrics at the grassroots widely applied.