中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
14期
60-60,62
,共2页
胎盘胎膜残留%晚期产后出血%生化颗粒冲剂%米非司酮%清宫术
胎盤胎膜殘留%晚期產後齣血%生化顆粒遲劑%米非司酮%清宮術
태반태막잔류%만기산후출혈%생화과립충제%미비사동%청궁술
Retained placenta%Late postpartum hemorrhage%Biochemical granules%Mifepristone%curettage
目的：总结胎盘胎膜残留所致晚期产后出血的临床处理经验。方法：2012年3月-2013年12月收治胎盘胎膜残留所致晚期产后出血患者80例。药物治疗：给予生化颗粒冲剂15g，3次/日，早晨空腹服米非司酮7.5mg，两种药物均治疗6天。手术治疗：对于出血量较大、出血休克的患者应立即清宫，术后使用催产素、止血剂、抗生素等对症治疗。结果：80例患者中，采用药物治疗20例，药物治愈14例(70.0%)，另外6例药物治疗失败后行清宫术治愈。另外60例患者直接采用清宫术治疗，胎盘、胎膜残留物，手术治愈。结论：生化颗粒冲剂和米非司酮是药物治疗胎盘胎膜残留所致晚期产后出血的药物治疗方法，清宫术是手术治疗胎膜残留所致晚期产后出血重要手段。临床可根据患者的具体情况选择治疗方法。
目的：總結胎盤胎膜殘留所緻晚期產後齣血的臨床處理經驗。方法：2012年3月-2013年12月收治胎盤胎膜殘留所緻晚期產後齣血患者80例。藥物治療：給予生化顆粒遲劑15g，3次/日，早晨空腹服米非司酮7.5mg，兩種藥物均治療6天。手術治療：對于齣血量較大、齣血休剋的患者應立即清宮，術後使用催產素、止血劑、抗生素等對癥治療。結果：80例患者中，採用藥物治療20例，藥物治愈14例(70.0%)，另外6例藥物治療失敗後行清宮術治愈。另外60例患者直接採用清宮術治療，胎盤、胎膜殘留物，手術治愈。結論：生化顆粒遲劑和米非司酮是藥物治療胎盤胎膜殘留所緻晚期產後齣血的藥物治療方法，清宮術是手術治療胎膜殘留所緻晚期產後齣血重要手段。臨床可根據患者的具體情況選擇治療方法。
목적：총결태반태막잔류소치만기산후출혈적림상처리경험。방법：2012년3월-2013년12월수치태반태막잔류소치만기산후출혈환자80례。약물치료：급여생화과립충제15g，3차/일，조신공복복미비사동7.5mg，량충약물균치료6천。수술치료：대우출혈량교대、출혈휴극적환자응립즉청궁，술후사용최산소、지혈제、항생소등대증치료。결과：80례환자중，채용약물치료20례，약물치유14례(70.0%)，령외6례약물치료실패후행청궁술치유。령외60례환자직접채용청궁술치료，태반、태막잔류물，수술치유。결론：생화과립충제화미비사동시약물치료태반태막잔류소치만기산후출혈적약물치료방법，청궁술시수술치료태막잔류소치만기산후출혈중요수단。림상가근거환자적구체정황선택치료방법。
Objective:To summarize the experience of clinical management of late postpartum hemorrhage due to the retained placenta.Methods:80 patients with late postpartum hemorrhage due to retained placenta were admitted in our hospital from March 2012 to December 2013.Drug treatment:give biochemical granules 15g,3 times/day,morning fasting mifepristone 7.5mg,both drugs were 6 days treatment.Surgery:For a large amount of bleeding and hemorrhagic shock patient should curettage immediately,and then should be used of oxytocin,hemostatic agents,antibiotics and other symptomatic treatment after surgery.Results:Among 80 patients,20 patients used the drug treatment, the drug cured 14 cases(70.0%),while 6 cases were cured underwent curettage after drug treatment fails.Another 60 patients were used curettage treatment directly,both the placenta,fetal membranes residues, surgical cure.Conclusions:Biochemical and mifepristone granules are drug treatment methods in late postpartum hemorrhage caused by retained placenta,and surgical curettage is important treatment in late postpartum hemorrhage caused by residual placenta.Clinical can choose of treatment according to the specific condition of the patient.
