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1983年以来我院收治剖宫产术后致命性阴道流血患者4例,均为初产,由外院因头盆不称与胎儿珍贵行子宫下段横切口剖宫产术。术后10～70天发生多次大量出血急转我院求治,总出血量为1000～3000毫升。经抗休克等治疗后手术探查见:3例子宫复旧不良,原切口呈浸润肥厚之瘢痕,一侧端组织暗紫色,质脆、贯通全子宫肌层,炎症累及宫旁结缔组织伴散在脓栓。另1例子宫已复旧,原切口呈黑粗线样,右端内陷,用镊一豁即开。4例均行低位子宫全切除(在原切口以下切除子宫),术后抗炎伤口一期愈
Since 1983, four cases of fatal vaginal bleeding after cesarean section were treated in our hospital. All of them were primiparous. 10 to 70 days after the occurrence of multiple massive emergency bleeding in our hospital for a total of 1000 to 3000 ml of blood loss. Surgical exploration after anti-shock treatment, etc. See: 3 cases of uterine involution, the original incision was hypertrophy scar infiltration, side of the dark purple tissue, crisp, through the myometrium, inflammation involving the uterine connective tissue with scattered in the suppository. Another case of the uterus has been restored, the original incision was thick black line, the right end retraction, with tweezers that is open. 4 cases were performed low hysterectomy (in the original incision below the uterus), anti-inflammatory wound after a