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目的:探讨剖宫产术后晚期产后出血的发生时间、病因及防治措施。方法:对2006年—2010年12月40例剖宫产术后晚期出血的临床资料进行分析。结果:剖宫产术后晚期出血发病原因:子宫切口感染、子宫复旧不良、子宫内膜炎、胎盘胎膜残留。结论:剖宫产术后晚期出血时间不应局限于产褥期内,其主要病因是子宫切口感染,对病因的诊断、防治值得重视。
Objective: To investigate the time, etiology and prevention and treatment of late postpartum hemorrhage after cesarean section. Methods: Clinical data of 40 cases of late bleeding after cesarean section were analyzed from December 2006 to December 2010. Results: The causes of late bleeding after cesarean section were: infection of uterine incision, poor uterine involution, endometritis and residual placental membranes. Conclusion: The bleeding time after cesarean section should not be confined to the puerperium, the main cause is the infection of the uterine incision. The diagnosis and prevention of the cause should be taken seriously.