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目的探讨剖宫产术后晚期产后出血发生的病因及防治措施。方法对我院2002~2005年16例剖宫术后晚期产后出血保守治疗成功患者的临床资料进行回顾性分析。结果发病原因依次为:子宫复旧不良,胎盘、蜕膜残留,子宫内膜炎,子宫切口感染。结论目前剖宫产术后晚期产后出血的主要原因是子宫复旧不良,胎盘、蜕膜残留,应强调对剖宫产胎盘、蜕膜残留的重视。子宫切口感染也可力行保守治疗。
Objective To investigate the etiology and prevention and treatment of postpartum hemorrhage after cesarean section. Methods The clinical data of 16 patients with successful postpartum hemorrhage conservative treatment in our hospital from 2002 to 2005 were analyzed retrospectively. Results The causes of morbidity were as follows: bad uterine involution, placenta, decidua, endometritis and uterine incision infection. Conclusion The main cause of postpartum hemorrhage after cesarean section is the poor uterine involution and the residual placenta and decidua. Emphasis should be placed on the residual placenta and decidua of cesarean section. Uterine incision infection can also be force conservative treatment.