中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
18期
64-65
,共2页
剖宫产%晚期产后出血%剖宫产术式%血管介入
剖宮產%晚期產後齣血%剖宮產術式%血管介入
부궁산%만기산후출혈%부궁산술식%혈관개입
Cesarean section%Late postpartum hemorrhage%Vascular intervention
目的：探讨引起剖宫产术后晚期产后出血的临床原因。方法：对2003-2013年收治的剖宫产分娩后发生晚期产后出血16例产妇的记录资料进行回顾性分析。结果：本院剖宫产后晚期产后出血发生率0.12%。剖宫产术后晚期产后出血的主要原因是胎盘胎膜残留、子宫切口感染，与剖宫产术式及操作技巧、产妇的全身状况有关。结论：剖宫产术后晚期产后出血的治疗方式以清宫为主，对急性出血者可行血管介入治疗，不得已情况下才考虑行子宫切除术。
目的：探討引起剖宮產術後晚期產後齣血的臨床原因。方法：對2003-2013年收治的剖宮產分娩後髮生晚期產後齣血16例產婦的記錄資料進行迴顧性分析。結果：本院剖宮產後晚期產後齣血髮生率0.12%。剖宮產術後晚期產後齣血的主要原因是胎盤胎膜殘留、子宮切口感染，與剖宮產術式及操作技巧、產婦的全身狀況有關。結論：剖宮產術後晚期產後齣血的治療方式以清宮為主，對急性齣血者可行血管介入治療，不得已情況下纔攷慮行子宮切除術。
목적：탐토인기부궁산술후만기산후출혈적림상원인。방법：대2003-2013년수치적부궁산분면후발생만기산후출혈16례산부적기록자료진행회고성분석。결과：본원부궁산후만기산후출혈발생솔0.12%。부궁산술후만기산후출혈적주요원인시태반태막잔류、자궁절구감염，여부궁산술식급조작기교、산부적전신상황유관。결론：부궁산술후만기산후출혈적치료방식이청궁위주，대급성출혈자가행혈관개입치료，불득이정황하재고필행자궁절제술。
Objective:To investigate the cause of the postpartum hemorrhage after cesarean section.Methods:We retrospectively analyzed the record datas of 16 cases of maternal postpartum hemorrhage uterine after delivery from 2003 to 2013.Results:The incidence of late postpartum hemorrhage after cesarean section was 0.12% in our hospital.The main cause of late postpartum hemorrhage after cesarean section is retained placenta,and uterine incision infection.It is associated with cesarean section and operating skills,and maternal body condition.Conclusion:The most treatment of late postpartum hemorrhage after cesarean section was curettage.We can take interventional therapy to treat the acute hemorrhage.No case was considered a hysterectomy.
