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机构地区:[1]安徽省蚌埠市第三人民医院妇产科,233000
出 处:《实用全科医学》2006年第3期297-298,共2页Applied Journal Of General Practice
摘 要:目的探讨降低产科子宫切除术及围产儿死亡发生率的方法。方法回顾性分析我院9年间所做的14例产科子宫切除术病例。结果产科子宫切除术发生率为0.087%,其中剖宫产子宫切除占85.71%;其主要指征为胎盘因素、子宫破裂、子宫收缩乏力,其次为子宫肌瘤、感染;产科子宫切除患者的围产儿病死率为14.29%。结论做好孕产妇监测和计划生育,严格掌握剖宫产指征,熟练掌握处理产科出血的各种技能,可以有效地降低产科子宫切除术发生率和围产儿死亡率。Objective To investigate the methods for reducing the incidence of obstetric hysterectomy and mortality of perinatal infant. Methods The data of 14 patients underwent hysterectomy was analyzed retrospectively. Results The incidence of obstetric hysterectomy was 0. 087%, 85.71% of the operations was cesarean hysterectomy. The indexes of obstetric hysterectomy were placenta factor, hysterorrhexis, inertia uteri, hysteromyoma and uterine infection. The fatality rate of perinatal infant was 14.29%. Conclusions It may be reduce the obstetric hysterectomy by the monitoring of gravida and family planning, mastering the index of abdominal delivery strictly and the correct treatment of obstetric hemorrhage.
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