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目的:探讨孕产妇子宫切除术的手术指征、手术时机及母儿预后。方法:收治子宫切除患者8例,进行回顾性分析。结果:两组病例均较大比例未行系统产检;分娩方式成功组阴道分娩比例较死亡组低;手术指征成功组以胎盘因素为主,包括子宫收缩乏力羊水栓塞、凝血功能障碍、子宫畸形,死亡组则集中于羊水栓塞、胎盘因素、子宫破裂。结论:加强围产保健,确掌握产科急症子宫切除的手术时机是临床抢救产科大出血的重要措施。
Objective: To investigate the surgical indications, timing of surgery and the prognosis of maternal and fetal hysterectomy. Methods: 8 cases of patients underwent hysterectomy were retrospectively analyzed. Results: A large proportion of patients in both groups did not receive systematic examination. The percentage of vaginal delivery in the successful delivery group was lower than that in the death group. The successful indications for surgery included placental factors, such as amniotic fluid embolism, coagulation dysfunction, uterine malformation , The death group is concentrated in amniotic fluid embolism, placental factors, uterine rupture. Conclusion: It is an important measure to rescue obstetric hemorrhage in order to strengthen the perinatal care and indeed grasp the operation timing of obstetric emergency hysterectomy.