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目的探讨宫腔填塞纱条治疗剖宫产出血的临床效果。方法对36例剖宫产产后因宫收缩乏力、前置胎盘、胎盘粘连剥离面渗血,止血困难者,采用宫腔填塞纱条止血,结合注射缩宫素、手法按摩,观察止血效果。结果填纱条塞后,36例患者宫腔出血均迅速减少,12-24h后取出纱条后均无活动性出血,血压、脉搏平稳,患者预后良好,无近远期并发症,无1例切除子宫,成功率为100%。结论宫腔纱条填塞术,方法简便、止血迅速,无创伤,无需特殊设备,对保留患者生育功能,减少创伤及痛苦有积极意义,适合在基层卫生单位推广应用。
Objective To investigate the clinical effect of intrauterine packing gauze in treating cesarean section bleeding. Methods 36 cases of cesarean section after labor due to contraction of the uterus due to fatigue, placenta previa, placental adhesion peel surface bleeding, bleeding difficulties, the use of intrauterine packing gauze to stop bleeding, combined with oxytocin injection, massage, observation of hemostatic effect. The results of filling gauze, 36 patients with rapid reduction of intrauterine bleeding, remove the gauze after 12-24h no active bleeding, blood pressure, pulse steady, the patient’s prognosis is good, no short-term and long-term complications, no one case Hysterectomy, the success rate of 100%. Conclusion Uterine gauze packing, simple and convenient, rapid hemostasis, no trauma, no special equipment, to retain the patient’s reproductive function, reduce trauma and pain have a positive meaning, suitable for promotion and application of primary health units.