论文部分内容阅读
随着剖宫产手术率的不断上升,剖宫产所致并发症亦相应增加。子宫下段横切口感染所致晚期产后出血,是严重并发症之一。我院自1981年1月1日~1984年12月分娩总数13041例,剖宫产1298例占9.95%,子宫下段横切口剖宫产1060例,占剖宫产手术81.66%,发生晚期产后出血2例,占下段横切剖宫产0.19%。现把这2例报告如下。例1 24岁,住院号387789。孕1产1,因剖宫产术后30天,阴道大流血、不省人事,于1981年10月6日急诊入院。患者于1981年9月6日因滞产30小时,破水2小时,宫口开大4cm,胎儿宫内窘迫,于硬膜外麻醉下行子宫下段横切口剖宫产。手术按常规进行,娩出胎儿较困难。切口以Ⅰ号铬制肠线连续缝合肌层两层,并以00号铬制肠线连续缝合膀胱反折腹膜。切口7天拆线,Ⅰ期愈合。术后10天出院。产后30天早
With the rising rate of cesarean section operation, the complications caused by cesarean section also increased accordingly. Lower uterine transverse incision infection caused by late postpartum hemorrhage, is one of the serious complications. In our hospital from January 1981 to December 1984 the total number of 13041 cases of delivery, caesarean section 1298 cases accounted for 9.95%, 1060 cases of cesarean section transverse uterine incision, accounting for 81.66% of cesarean section, postpartum hemorrhage occurred 2 cases, accounting for the next section cesarean section 0.19%. Now these two cases are reported as follows. Example 1 24 years old, hospital number 387789. Pregnancy 1 1, due to 30 days after cesarean section, vaginal bleeding, unconsciousness, in October 6, 1981 emergency admission. Patients on September 6, 1981 due to 30 hours of stagnation, broken water 2 hours, cervix open 4cm, fetal distress, epidural anesthesia underwent transverse uterine incision cesarean section. Surgery by conventional, more difficult to deliver the fetus. The incision was made by continuous chiseling of the muscle layers with No. 1 chrome gut and continuous suturing of the bladder with peritoneum on the No. 00 chrome catgut. Incision 7 days stitches, Ⅰ healing. Ten days after discharge. 30 days postpartum early