CAJ | 학술논문

目的：探讨剖宫产术后晚期产后出血的特点及救治措施。方法：收治剖宫产术后晚期产后出血患者6例，分析其出血原因及治疗效果。结果：出血原因：蜕膜残留1例，子宫复旧不良1例，子宫切口感染1例，子宫切口愈合不良3例。2例患者采用宫缩剂、广谱抗生素治疗后未再出血，后经B超复查切开愈合良好；1例患者行双侧子宫动脉栓塞术，术后未再出血；1例患者经剖腹探查，发现子宫切口左侧角部裂开，行全子宫切除术；2例患者行刮宫术；6例患者中进行输血治疗5例，输血量2～6个单位，所有患者均痊愈出院。结论：剖宫产术后晚期产后出血多发生在剖宫产1～2周，多数患者出现发热症状，宫缩剂、广谱抗生素治疗、子宫动脉栓塞术、刮宫术和全子宫切除术是治疗剖宫产术后晚期产后出血的主要手段。
목적：탐토부궁산술후만기산후출혈적특점급구치조시。방법：수치부궁산술후만기산후출혈환자6례，분석기출혈원인급치료효과。결과：출혈원인：세막잔류1례，자궁복구불량1례，자궁절구감염1례，자궁절구유합불량3례。2례환자채용궁축제、엄보항생소치료후미재출혈，후경B초복사절개유합량호；1례환자행쌍측자궁동맥전새술，술후미재출혈；1례환자경부복탐사，발현자궁절구좌측각부렬개，행전자궁절제술；2례환자행괄궁술；6례환자중진행수혈치료5례，수혈량2～6개단위，소유환자균전유출원。결론：부궁산술후만기산후출혈다발생재부궁산1～2주，다수환자출현발열증상，궁축제、엄보항생소치료、자궁동맥전새술、괄궁술화전자궁절제술시치료부궁산술후만기산후출혈적주요수단。
Objective:To explore the features and treatment measures of late postpartum hemorrhage after cesarean section. Methods:6 patients with late postpartum hemorrhage after cesarean section were selected.The causes of blooding and the effect of the treatment were analyzed.Results:The causes of hemorrhage:1 case of remnant of decidua,1 case of poor involution of uterus,1 case of uterine incision infection,3 cases of uterine incision abnormal healing.2 patients were given oxytocin,broad-spectrum antibiotic therapy,bleeding stopped,healing with incision after B ultrasonic examination was good;1 patient was given bilateral uterine arterial embolization,and there was no bleeding after operation;1 patient was given laparotomy,and the left corner of the uterine incision was cracked,and then she was given hysterectomy;2 patients were given curettage;in the 6 patients,5 cases received blood transfusion,the amount of transfusion was 2 to 6 units,all patients were cured and discharged.Conclusion:The common time of late postpartum hemorrhage after cesarean section was at 1 to 2 weeks.Most patients had fever symptoms. uterotonic,broad-spectrum antibiotic therapy,uterine artery embolization,uterine curettage and hysterectomy resection were the primary treatments for late postpartum hemorrhage after cesarean section.