再次剖宫产的临床观察  

Clinical observation of repeated cesarean section

作　　者：孙长虹[1] 

机构地区：[1]江苏省滨海县人民医院,224500

出　　处：《中国实用医药》2014年第30期34-36,共3页China Practical Medicine

摘　　要：目的探讨再次剖宫产的临床疗效。方法回顾性分析50例再次行剖宫产患者的临床资料,进一步分析再次剖宫产的高危因素、再次剖宫产指征以及手术时机等。结果 50例再次行剖宫产患者中,16例出现术中出血,出血发生率为32.00%,平均出血量(490±305)ml,而50例患者均出现腹腔粘连。其中导致出血的原因包括宫缩乏力、胎盘因素、切口裂开、子宫破裂。再次剖宫产的手术指征为头盆不称、胎儿窘迫、妊娠高血压疾病等。而手术时机为在临产前和临产时进行手术。结论再次剖宫产对产妇影响较大,应不断提高产科质量,降低剖宫产率,值得临床借鉴。Objective To investigate the clinical effect of repeated cesarean section. Methods A retrospective analysis was made of the clinical data of 50 cases of repeated cesarean section, and there was further analysis of the risk factors, indications, and operation time of repeated cesarean section. Results Among the 50 cases of repeated cesarean section, there Were 16 cases of intraoperative bleeding, the bleeding incidence was 32.00%, and the average blood loss was （490 ± 305） ml, and there were 50 cases of abdominal cavity adhesion. The causes of hemorrhage included contractions fatigue, placental factors, incision dehiscence, and uterine rupture. Repeated cesarean section had the surgical indications as cephalopelvic disproportion, fetal distress, pregnancy-induced hypertension, etc. Operation time was before or during birth. Conclusion Repeated cesarean section has strong influence on parturient. Improving obstetric quality and reducing cesarean section rate ore worthy of clinical reference.

关 键 词：再次剖宫产 高危因素 剖宫产指征 手术时机 临床观察 

分 类 号：R719.8[医药卫生—妇产科学]