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目的:探讨剖宫产术中出血原因。方法:选择2004年5月至2011年5月剖宫产术中出血30例进行分析。结果:子宫收缩乏力是剖宫产术中出血的主要原因,另有胎盘早剥、前置胎盘、胎盘植入、子宫切口裂伤等亦是造成剖宫产术出血的原因。结论:采用缩宫素、按摩子宫、缝合止血是常用止血方法,其方法疗效较显著,若无效则行子宫动脉上行支结扎以求保留子宫,若仍无效,要遵循以抢救生命为第一原则,必要时果断切除子宫,避免患者付出生命代价造成不可挽回的后果。
Objective: To investigate the causes of bleeding during cesarean section. Methods: From May 2004 to May 2011, 30 cases of bleeding in cesarean section were analyzed. Results: Uterine atony was the main cause of bleeding during cesarean section. In addition, placental abruption, placenta previa, placenta accreta and laceration of uterine incision were also the causes of cesarean section bleeding. Conclusion: The use of oxytocin, massage the uterus, suture hemostasis is a common method of hemostasis, the effect of the method is more obvious, if not, then uterine artery ligation of the upstream branch of the uterus, if still ineffective, to follow the first principle to save lives , Decisive uterus decisively, if necessary, to avoid irreparable consequences for the patient to pay the cost of life.