剖宫产术大出血90例临床分析  

Clinical Analysis of Hematorrhea in 90 Cases Cesarean Section

作　　者：王坚平[1] 章莉[1] 

机构地区：[1]佛山市顺德区第一人民医院妇科,广东佛山528300

出　　处：《实用临床医学（江西）》2004年第2期59-61,共3页Practical Clinical Medicine

摘　　要：目的 :探讨剖宫产术大出血的原因及防治。方法 :回顾分析 90例剖宫产术中大出血患者的临床资料。结果 :宫缩乏力占出血原因的 6 3.3% (5 7/ 90 ) ;胎盘因素占 2 0 .0 % (18/ 90 ) ;子宫切口撕裂 10 .0 % (9/ 90 ) ;子宫下段血窦开放 4 .4 % (4/ 90 ) ;凝血功能障碍 2 .2 % (2 / 90 )。有产科并发症、合并症者 ,可增加术中出血的发生率。快速补液、补血、对因治疗 ,应用米索前列醇舌下含服或卡孕栓直肠给药是预防、治疗产后出血的有效方法。结论 :积极预防及治疗产科合并症和并发症 。Objective:To research the causes of hematorrhea in cesarean section and its prevention and treatment.Methods:Retrospect analyzed clinical data of 90 cases with hematorrhea in cesarean section. Results: The causes of hematorrhea in cesarean section include uterine inertia in 57/90 cases(63.3%); placental factors 18/90 cases(20.0%); uterine incision tear 9/90 cases(10.0%);lower uterine segment blood sinus open 4/90 cases(4.4%);dysfunction of blood coagulation 2/90 cases(2.2%).The hematorrhea rate increase in patients with obstetrical complications.Fluid and blood transfusion immediately,causative agent treatment,misoprostol sublingual tablet and carboprost methylate suppository are effective measures for preventing and treating of postpartum hemorrhage.Conclusion:To prevent and treat actively obstetrical complications,take medicine and perform conservative operations in a comprehensive plan is the effective measures of hematorrhea treatment in cesarean section.

关 键 词：剖宫产术 大出血 止血 治疗 

分 类 号：R719.8[医药卫生—妇产科学]