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目的:探讨产科急诊子宫切除术的相关因素。方法:分析1997-01/2008-12在广西桂林市中西医结合医院住院分娩产后大出血子宫切除术12例资料。结果:子宫切除率0.15%。胎盘因素58.33%为子宫切除的主要原因,高于子宫收缩乏力出血25%(P<0.05);剖宫产子宫切除率0.34%,高于阴道分娩子宫切除率0.02%(P<0.01)。结论:加强围产保健,积极预防及治疗产时、产后出血等可降低产科急诊子宫切除率。
Objective: To investigate the related factors of obstetric emergency hysterectomy. Methods: The data of 12 cases of postpartum hemorrhage hysterectomy hospitalized in Guilin Hospital of Traditional Chinese Medicine from January 1997 to December 2008 were analyzed. Results: Hysterectomy rate of 0.15%. The placental factor 58.33% was the main reason of hysterectomy, which was higher than uterine atherosclerosis hemorrhage 25% (P <0.05); cesarean section hysterectomy rate 0.34%, higher than vaginal delivery hysterectomy rate 0.02% (P <0.01). Conclusion: Strengthening perinatal health care, active prevention and treatment of labor hours, postpartum hemorrhage can reduce the hysterical emergency hysterectomy rate.