晚期产后出血85例临床病理分析  

A Clinical Pathological Analysis of 85 Cases with Late Postpartum Hemorrhage

作　　者：何福仙[1] 钟刚[1] 郑红兵[1] 黎宁[1] 

机构地区：[1]同济医科大学附属同济医院妇产科,武汉430030

出　　处：《同济医科大学学报》1997年第6期466-469,共4页Acta Universitatis Medicinae Tongji

摘　　要：总结了1985年1月1日～1994年12月31日同济医院住院治疗的85例晚期产后出血的病例，其中阴道分娩66例（同济医院58例），剖宫产术19例（同济医院8例）。文献报道晚期产后出血的发生率为0．28％，同济医院为0．21％。其主要病因为胎盘、胎膜残留，子宫内膜炎和（或）蜕膜炎，以及剖宫产术后子宫切口感染、裂开出血等。文献报道后者发生率为1．26‰，同济医院为1．1‰。治疗以清宫术为主，对急性大出血者可行髂内动脉结扎或子宫切除术。同济医院目前应用的经皮髂内动脉造影栓塞治疗为一安全可靠的方法，值得推广。85 cases with late postpartum hemorrhage hospitalized in our hospital from Jan 1, 1985 to Dec31,1994 were studied in this article,66 cases following vaginal delivery (58 in our hospital ) and 19 casesafter Cesarean section (8 in our hospital). The incidence of late postpartum hemorrhage was 0. 21% in ourhospital,while it was 0. 28% reported in literature. The causes of late postpartum hemorrhage were mostlyretained placental tissue or membranes, endometritis or deciduitis and uterine incision infection anddehiscence of cesarean section. The incidence of the latter in our hospital was 1. 11‰, which was in accordancewith that (1. 26‰,) reported in literature. The treatment of choice was mainly uterine curettage. Theligation of internal iliac arteries or hysterectomy might be done in some cases with acute excessive bleeding. Theembolization of internal iliac arteries with percutaneous catheter was being used in our hospital is also a safeand reliabe method worth being spread.

关 键 词：出血 产后 病理学 病理 晚期 

分 类 号：R714.461[医药卫生—妇产科学]