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目的:探讨产后出血致子宫切除术的原因及治疗效果。方法:收集我院2010年4月~2013年5月产后出血致子宫切除术患者15例,本组15例患者均进行保守治疗无效,为挽救患者生命,经患者家属同意,均行子宫切除术。结果:15例患者中9例子宫全切术,6例行子宫次全切除术,术后进行输血、输液、输注新鲜血浆、应用抗生素等措施进行治疗,14例成功救治,1例死亡,原因是多脏器功能衰竭,救治成功率为93.3%。结论:子宫切除术治疗产后出血疗效显著,是在各种保守治疗无效的情况下才能选择。
Objective: To investigate the causes and therapeutic effects of hysterectomy caused by postpartum hemorrhage. Methods: 15 cases of hysterectomy patients who were postpartum hemorrhage from April 2010 to May 2013 in our hospital were collected. All 15 patients in this group were treated conservatively and were ineffective. To save the patient’s life, hysterotomy . Results: Among the 15 patients, 9 cases underwent hysterectomy and 6 cases underwent subtotal hysterectomy. Blood transfusion, infusion and infusion of fresh plasma were performed after operation. Antibiotics and other measures were used to treat the patients. 14 cases were successfully treated and 1 case died. The reason is multiple organ failure, treatment success rate was 93.3%. Conclusion: The effect of hysterectomy on postpartum hemorrhage is significant, which can be selected under the circumstance of various conservative treatments.