论文部分内容阅读
目的探讨产科急症子宫切除术的临床应用。方法采用回顾性分析方法,对我院1992~2005年29例因产科急症行子宫切除术患者的临床资料进行分析。结果29例均为保守治疗不能控制的产科大出血患者。其中前置胎盘8例,胎盘植入6例,胎盘早剥5例,弥散性血管内凝血(D IC)4例,剖宫产术后晚期出血3例,子宫破裂3例。胎盘因素占首位(19例,66%),围生儿存活率100%。结论胎盘因素是近年来产科急症子宫切除的主要手术指征,急症子宫切除术是治疗急症产科大出血,抢救产妇生命的一项重要有效措施。
Objective To investigate the clinical application of obstetric emergency hysterectomy. Methods A retrospective analysis of 29 cases from 1992 to 2005 in our hospital obstetric emergency hysterectomy patients with clinical data analysis. Results All the 29 cases were patients with obstetric hemorrhage who could not be controlled by conservative treatment. Including placenta previa in 8 cases, 6 cases of placenta accreta, 5 cases of placental abruption, disseminated intravascular coagulation (D IC) in 4 cases, 3 cases of late cesarean section bleeding, uterine rupture. Placental factors accounted for the first (19 cases, 66%), perinatal survival rate of 100%. Conclusion The placental factors are the main indications of hysterectomy in obstetric emergencies in recent years. Emergency hysterectomy is an important and effective measure for the treatment of acute and obstetric haemorrhage and rescue of maternal life.