剖宫产术后晚期产后出血46例临床分析  

Late postpartum hemorrhage after cesarean section:clinical analysis of 46 cases

作　　者：贺晶[1] 胡文胜[1] 徐冬[1] 

机构地区：[1]浙江大学医学院附属妇产科医院

出　　处：《中国实用妇科与产科杂志》2003年第7期411-412,共2页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：目的　探讨剖宫产术后晚期产后出血发生的时间、病因及防治措施。方法　对 1999～ 2 0 0 2年 4 6例剖宫产术后晚期产后出血的临床资料进行回顾性分析。结果　发病原因依次为 :子宫切口感染、溃疡 ,子宫复旧不良 ,胎盘、蜕膜残留 ,子宫内膜炎。发生时间以剖宫产术后 3周以上者占多数 (78 3% ) ,部分病例 (36 9% )在 6周以上。结论　剖宫产术后晚期产后出血的时间不应局限于产褥期内 ,其主要病因是子宫切口感染、溃疡。对病因的诊断、防治值得重视。Objective To investigate the occuring time,pathogenesis,prevention and management of late postpartum hemorrhage after cesarean section.Methods The data of 46 cases of late postpartum hemorrhage from 1999 to 2002 were analyzed retrospectively.Results The causes were infection,ulcer of cesarean incision,subinvolution of uterus,retained placenta or decidua and endometritis in turn.Most cases (78.3%) had hemorrhage over three weeks after delivery,some even over six weeks (36.9%).Conclusion Late postpartum hemorrhage after cesarean section may occur beyond puerperium and the main causes are infection and ulcer of incision.Diagnosis,prevention and treatment are important.

关 键 词：剖宫产 术后 晚期 产后出血 临床分析 

分 类 号：R719.8[医药卫生—妇产科学]