实用医院临床杂志
實用醫院臨床雜誌
실용의원림상잡지
PRACTICAL JOURNAL OF CLINICAL MEDICINE
2015年
5期
163-164,165
,共3页
产后出血%剖宫产%高危妊娠%预防
產後齣血%剖宮產%高危妊娠%預防
산후출혈%부궁산%고위임신%예방
Postpartum Hemorrhage%Cesarean Section%High Risk Pregnancy%Prevention
目的：探讨高危妊娠剖宫产术中及术后出血时 B－lynch 缝合术的应用。方法2011年1月至2013年12月在成都市金牛区妇幼保健院就诊的高危妊娠剖宫产住院产妇，其中50例术中行 B－lynch 缝合术（观察组），另50例术中未行 B－lynch 缝合术，采用常规治疗方法（对照组），两组剖宫产操作均采用连续硬膜外麻醉下子宫下段横切口。比较两组产妇术后2小时和24小时出血量及治疗效果。结果观察组产后2小时及24小时出血量均明显少于对照组，24小时检测血红蛋白明显高于对照组，差异有统计学意义（P ＜0．05）。两组均术后子宫复旧良好，腹部切口Ⅱ／甲愈合，在院时均无肠梗阻等并发症发生。结论B－lynch 缝合术是临床上一种简单有效的止血方法，有较好的临床应用价值，值得临床推广。
目的：探討高危妊娠剖宮產術中及術後齣血時 B－lynch 縫閤術的應用。方法2011年1月至2013年12月在成都市金牛區婦幼保健院就診的高危妊娠剖宮產住院產婦，其中50例術中行 B－lynch 縫閤術（觀察組），另50例術中未行 B－lynch 縫閤術，採用常規治療方法（對照組），兩組剖宮產操作均採用連續硬膜外痳醉下子宮下段橫切口。比較兩組產婦術後2小時和24小時齣血量及治療效果。結果觀察組產後2小時及24小時齣血量均明顯少于對照組，24小時檢測血紅蛋白明顯高于對照組，差異有統計學意義（P ＜0．05）。兩組均術後子宮複舊良好，腹部切口Ⅱ／甲愈閤，在院時均無腸梗阻等併髮癥髮生。結論B－lynch 縫閤術是臨床上一種簡單有效的止血方法，有較好的臨床應用價值，值得臨床推廣。
목적：탐토고위임신부궁산술중급술후출혈시 B－lynch 봉합술적응용。방법2011년1월지2013년12월재성도시금우구부유보건원취진적고위임신부궁산주원산부，기중50례술중행 B－lynch 봉합술（관찰조），령50례술중미행 B－lynch 봉합술，채용상규치료방법（대조조），량조부궁산조작균채용련속경막외마취하자궁하단횡절구。비교량조산부술후2소시화24소시출혈량급치료효과。결과관찰조산후2소시급24소시출혈량균명현소우대조조，24소시검측혈홍단백명현고우대조조，차이유통계학의의（P ＜0．05）。량조균술후자궁복구량호，복부절구Ⅱ／갑유합，재원시균무장경조등병발증발생。결론B－lynch 봉합술시림상상일충간단유효적지혈방법，유교호적림상응용개치，치득림상추엄。
Objective To investigate the application of B-lynch suture during and postoperative cesarean section hemorrhage in patients with high risk pregnancy .Methods A retrospective analysis of clinical data of 100 patients with a risk of maternal bleeding tendency from January 2011 to December 2013 in our hospital was performed .The patients were randomly divided into observation and control groups,50 in each of the group.The two groups underwent cesarean section operation using conventional methods under general anesthesia.To prevent the postpartum hemorrhage ,the control group was treated with conventional suture method while the observation group was treated with B-lynch suture.Bleeding volume and treatment effect were compared between the two groups after 2 and 24 hours of operation.Results Bleeding volume after 2 and 24 hours of operation in the observation group was all less than that in the control group.Blood hemoglobin concentrations after 24 hours in the observation group was significantly higher than that in the control group (P<0.05).In the both group,the involution of uterus was good and abdominal incision was class II /A healing.There were no complica-tions such as intestinal obstruction after operation .Conclusion B-lynch suture is a simple and proper hemostasis method in clinical practice.It has a good clinical value ,and is worthy of clinical promotion .
