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目的:了解发生剖宫产出血经手法按摩子宫及注射宫缩剂,包括子宫壁及静脉给药,以及行子宫动脉上行支 结扎后无效时行宫腔填塞纱条在剖宫产止血中的治疗作用。方法:发生剖宫产出血经上述处理后仍有出血者,以碘伏浸泡的无菌纱条分别自上向下,自下向上填塞宫腔,然后缝合子宫切口。结果:31例病例出血得到及时控制,无1例发生切口感染或行子宫切除术。结论:宫腔填塞纱条对剖宫产术中出血是一种行之有效的止血方法。
OBJECTIVE: To understand the curative effect of cesarean section gauze on cesarean section hemostasis after manual massage of uterus and uterine contractions, including uterine wall and intravenous injection, and ineffectiveness of uterine artery ligation after ligation . Methods: Cesarean section occurred bleeding after the above-mentioned treatment were still bleeding, soaked in iodine volute gauze, respectively, from top to bottom, bottom-up from the uterine cavity, and then suture the uterine incision. Results: Thirty-one cases of hemorrhage were controlled in time and no incision infection or hysterectomy was performed. Conclusions: Intrauterine plug gauze is an effective hemostatic method for bleeding during cesarean section.