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目的:探讨急症子宫切除术在产后出血中的应用效果。方法:本研究选取了2010年4月至2014年4月收治的64例产后出血患者作为研究对象,将64例患者随机分为对照组和观察组,每组各32例,对照组患者采用宫腔纱布填塞治疗,观察组患者采用子宫切除术治疗,对比两组患者的临床疗效。结果:对照组中,有26例抢救成功,而观察组有32例抢救成功。观察组患者的抢救成功率为100.0%,较对照组的81.3%明显提高(P<0.05)。两组在抢救过程中的输血量分别为:(3050.3±64.6)ml,(1649.5±26.5)ml。观察组在抢救过程中的输血量较对照组显著减少(P<0.05)。结论:急症子宫切除术在产后出血中具有良好应用效果,值得推荐。
Objective: To investigate the effect of emergency hysterectomy in postpartum hemorrhage. Methods: Sixty-four patients with postpartum hemorrhage admitted from April 2010 to April 2014 were selected as study subjects. Sixty-four patients were randomly divided into control group and observation group, with 32 cases in each group. The patients in control group Gauze packing, observation group patients treated with hysterectomy, compared the clinical efficacy of two groups of patients. Results: In the control group, 26 patients were successfully rescued, while 32 patients in the observation group were rescued successfully. The success rate of rescue in observation group was 100.0%, which was significantly higher than 81.3% in control group (P <0.05). The volume of blood transfusion in the two groups during resuscitation were (3050.3 ± 64.6) ml and (1649.5 ± 26.5) ml, respectively. The volume of blood transfusion in observation group was significantly lower than that in control group (P <0.05). Conclusion: Emergency hysterectomy has a good effect in postpartum hemorrhage, which is worth recommending.