围产期急诊子宫切除临床分析  

Clinical Analysis of Peripartum Emergency Hysterectomy

作　　者：陈汉青[1] 邹粟花[1] 杨建波[1] 

机构地区：[1]中山大学附属第一医院妇产科,广东省广州市510080

出　　处：《医学理论与实践》2013年第20期2674-2675,共2页The Journal of Medical Theory and Practice

摘　　要：目的:了解急诊子宫切除的指征、结局及并发症等。方法:回顾性分析36例围产期急诊子宫切除术的病例。结果:围产期紧急子宫切除手术的指征是胎盘植入21例(58.3%)、宫缩乏力12例(33.3%)、子宫破裂2例(5.6%)、胎盘早剥1例(2.8%)。平均失血量为3.8L(SD 1.8),4例(11.1%)有并发症。结论:围产期急诊子宫切除术是抢救难治性产后出血的有效措施。Objective： To analysis the indications, the maternal and perinatal outcomes and the complications of peripar- turn emergency hysterectomies. Methods.. We retrospectively analyzed 36 cases of peripartum emergency hysterectomies who delivered in our hospital. Results：The main indication was severe uterine bleeding from placenta accreta 21 cases （58. 3%）, uterine atony 12 cases （33%） ,uterine rupture 2 cases （5. 6%） and placental abruption 1 case（2. 8%）. The average blood loss was 3. 8L （SD 1.8）. Complication occurred in 4 eases（11. 1%）. Conclusion： Peripartum emergency hysterectomy is an effective measure to rescue uncontrollable postpartum hemorrhage.

关 键 词：围产期子宫切除 产后出血 胎盘植入 宫缩乏力 

分 类 号：R713.42[医药卫生—妇产科学]