晚期产后出血的诊治经验体会  

The experience in the diagnosis and treatment experience of late postpartum hemorrhage

作　　者：任民 

机构地区：[1]吉林省长春市朝阳区妇幼保健所,吉林长春130000

出　　处：《世界最新医学信息文摘》2015年第22期46-47,共2页World Latest Medicine Information Electronic Version

摘　　要：目的探讨晚期产后出血的临床诊断和治疗方法。方法选取2013年12月至2014年12月间我院发生晚期产后出血的40例产妇作为临床研究对象,对其临床资料进行回顾性分析,旨在探讨患者的临床诊治方法。结果本组40例晚期产后出血产妇中,宫腔内残留组织16例,其中13例患者是在足月阴道分娩后,经B超检查显示患者宫腔中具有残留组织,采用清宫术进行处理,将清出物送检明确均为蜕膜组织;3例患者时在孕晚期引产后,阴道出现持续性出血情况(时间超过1个月),采用阴道镜检查和B超检查显示为子宫粘膜下肌瘤;其中有1例患者由于需要保留子宫;另外2例患者吸取教训而在做好手术和输血准备的基础上采用诊刮术进行治疗,术后经病理学检查证实为绒毛组织,宫腔感染8例,子宫破裂2例,剖宫产术后切口愈合不良6例。结论产科工作人员应详细了解产妇晚期产后出血的原因,以便采取针对性的处理措施,进而有效止血。Objective：To study the clinical diagnosis and treatment of late postpartum hemorrhage. Methods： from 2013 December to 2014 year in December in our hospital 40 cases of maternal postpartum hemorrhage occurred as the clinical research object, and the clinical data were retrospectively analyzed, aimed to investigate the clinical diagnosis and treatment of patients. Results： the 40 cases of maternal postpartum hemorrhage, 16 cases of intrauterine residual tissue, in which 13 cases are in after full-term vaginal delivery, by B-ultrasound showed residual tissue of patients with uterine cavity, which was treated by curettage, will clear physical inspection clearly are decidua. Conclusion：the obstetric staff should cause of maternal postpartum hemorrhage with understanding, so as to take corresponding measures to handle, and then effectively.

关 键 词：晚期产后出血 原因 诊断 治疗 

分 类 号：R714.461[医药卫生—妇产科学]