CAJ | 학술논문

目的：分析15例产后不同部位血肿形成的危险因素，探讨血肿的预防。方法回顾分析2007年1月至2013年12月某院产科病房产后血肿形成的15例病例。结果15例产后出血病例中，剖宫产术后血肿9例，其中腹壁血肿6例，盆腹腔血肿3例；自然分娩血肿6例，其中会阴血肿5例，腹膜后血肿1例。共有5例剖宫产术后血肿和1例会阴血肿患者，经血肿清除手术治愈，9例患者保守治疗成功。结论严格规范手术操作，重视严重产科并发症或合并症的处理，加强手术前及术中药物的合理使用，避免血肿的形成。
목적：분석15례산후불동부위혈종형성적위험인소，탐토혈종적예방。방법회고분석2007년1월지2013년12월모원산과병방산후혈종형성적15례병례。결과15례산후출혈병례중，부궁산술후혈종9례，기중복벽혈종6례，분복강혈종3례；자연분면혈종6례，기중회음혈종5례，복막후혈종1례。공유5례부궁산술후혈종화1례회음혈종환자，경혈종청제수술치유，9례환자보수치료성공。결론엄격규범수술조작，중시엄중산과병발증혹합병증적처리，가강수술전급술중약물적합리사용，피면혈종적형성。
Objective To analyze risk factors of postpartum hematoma in different parts, and explore the prevention of hematoma. Methods We retrospectively analyzed 15 cases of postpartum hematoma from January 2007 to December 2013 in obstetric ward in our hospital. Results There were nine cases of hematoma after cesarean section: six cases were incisional napes hematoma and three cases were abdominal hematoma. Perineal hematomas after vaginal delivery were five cases including one case of retroperitoneal hematoma. Six patients received surgery to remove the hematoma and nine cases accepted conservative treatment. Conclusion We should strictly regulate operation, pay attention to the treatment of obstetric complications or comorbidities, rational use of medicines before surgery and intraoperation, prevent the formation of hematoma.