产科急症子宫切除相关因素回顾性分析  

Correlative factors of emergency hysterectomy

作　　者：赵红卫[1] 

机构地区：[1]宁波市妇女儿童医院妇产科,浙江宁波315010

出　　处：《中国现代医生》2013年第33期1-3,7,共4页China Modern Doctor

摘　　要：目的分析产科急症子宫切除的相关因素。方法回顾性分析40例产科急症子宫切除术患者的临床资料,包括患者的一般资料、孕产史、孕周等异常情况以及相关的处理,分析产科急症子宫切除的相关因素。结果导致阴道分娩产后出血的原因主要是子宫破裂和宫缩乏力。胎盘植入、胎盘早剥、凝血异常、DIC、术后出血量是剖宫产急症导致子宫切除的相关危险因素。结论剖宫产急症子宫切除的高危因素主要有胎盘因素、子宫破裂、凝血指标异常、DIC、产后出血量增加,联用宫缩剂有一定保护作用。Objective To analyze correlative factors of emergency hysterectomy. Methods Clinical data of forty cases with emergency hysterectomy were analyzed. General data, the histories of abnormal pregnancy, gestational weeks and treatment were analyzed. Correlative factors of emergency hysterectomy was analyzed. Results Main correlative factors of vaginal delivery were metrorrhexis and uterine inertia. Correlative factors of emergency caesarean section hysterec- tomy were placenta implantation, abruptio placentae, disturbance of blood coagulation, DIC, postoperative blood loss. Conclusion Placenta implantation, abruptio placentae, disturbance of blood coagulation, DIC, postoperative blood loss are correlative factors of caesarean section, and combined application shows protective effect.

关 键 词：产科 急症 子宫切除 相关因素 

分 类 号：R719[医药卫生—妇产科学]