中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
30期
57-57,60
,共2页
剖宫产%早期产后出血%相关因素
剖宮產%早期產後齣血%相關因素
부궁산%조기산후출혈%상관인소
Cesarean section%Early postpartum hemorrhage%Related factors
目的：探讨剖宫产术后早期产后出血的相关因素及预防措施。方法：收治剖宫产术后早期产后出血患者45例，回顾性分析其临床资料。结果：发生宫缩乏力21例(46.7%)，胎盘因素13例(28.9%)，子宫裂伤1例(2.2%)，其他因素2例(4.4%)，经常规方法处理41例(91.1%)，血管结扎方法处理1例(2.2%)，宫腔纱条填塞处理1例(2.2%)，子宫切除2例(4.4%)。结论：导致剖宫产术后早期产后出血的主要原因是宫缩乏力，其次是胎盘因素。
目的：探討剖宮產術後早期產後齣血的相關因素及預防措施。方法：收治剖宮產術後早期產後齣血患者45例，迴顧性分析其臨床資料。結果：髮生宮縮乏力21例(46.7%)，胎盤因素13例(28.9%)，子宮裂傷1例(2.2%)，其他因素2例(4.4%)，經常規方法處理41例(91.1%)，血管結扎方法處理1例(2.2%)，宮腔紗條填塞處理1例(2.2%)，子宮切除2例(4.4%)。結論：導緻剖宮產術後早期產後齣血的主要原因是宮縮乏力，其次是胎盤因素。
목적：탐토부궁산술후조기산후출혈적상관인소급예방조시。방법：수치부궁산술후조기산후출혈환자45례，회고성분석기림상자료。결과：발생궁축핍력21례(46.7%)，태반인소13례(28.9%)，자궁렬상1례(2.2%)，기타인소2례(4.4%)，경상규방법처리41례(91.1%)，혈관결찰방법처리1례(2.2%)，궁강사조전새처리1례(2.2%)，자궁절제2례(4.4%)。결론：도치부궁산술후조기산후출혈적주요원인시궁축핍력，기차시태반인소。
Objective:To explore the related factors and preventive measures for early postpartum hemorrhage after cesarean section.Methods:45 patients with early postpartum hemorrhage after cesarean section were selected.Clinical data were retrospectively analyzed.Results:21 cases(46.7%) were uterine inertia;13 cases(28.9%) were placenta factors;uterine laceration was in 1 case(2.2% );other factors were in 2 cases(4.4% ).41 cases(91.1% ) were given the conventional method processing;1 case(2.2%) was given the arterial ligation treatment;1 case(2.2%) was given uterine cavity sand bar packing;2 cases(4.4%) were given uterine resection.Conclusion:The main cause of early postpartum hemorrhage after cesarean section was uterine atony, followed by placental factors.
