摘要
目的:分析子宫切除发生率、手术原因及临床价值。方法:对38例急症子宫切除孕产妇进行回顾性分析。结果:38例子宫切除原因依次为:子宫收缩乏力16例,占42.10%,其中剖宫产中发生12例,阴道分娩2例;子宫破裂8例,占21.05%;胎盘因素6例,占15.79%;晚期产后出血4例,占10.53%,均为剖宫产术后切口愈合不良;妊高征合并HELLP综合征1例,占5.26%;羊水栓塞2例,占5.26%。结论:子宫收缩乏力是产科急症子宫切除的主要手术指征,产科急症子宫切除术是一项抢救危重出血孕产妇生命的重要措施。
Objective: To analyze the incidence of hysterectomy, surgery causes and clinical value. Method: 38 cases of acute maternal hysterectomies were analyzed retrospectively. Results: 38 cases of uterine resection of the reasons were as follows: 16 cases of uterine contraction weak, accounting for 42.10%, which occurred in 12 cases of cesarean section, vaginal delivery in 2 cases; 8 cases of uterine rupture, accounting for 21.05%: placental factor 6 cases, accounting for 15.79%: 4 cases of late postpartum hemorrhage, accounting for 10.53%, both bad wound healing after cesarean section: induced hypertension complicated HELLP syndrome in 1 case, accounting for 5.26%: AFE 2 cases, accounting for 5.26%. Conclusion: The uterine contraction fatigue emergency obstetric hysterectomy is a major surgical indications, emergency obstetric hysterectomy is a maternal blood to save life of critically important measures.
出处
《中国民族民间医药》
2010年第6期141-142,共2页
Chinese Journal of Ethnomedicine and Ethnopharmacy
关键词
急症子宫切除术
子宫收缩乏力
产科出血
emergency hysterectomy for obstetric hemorrhage of uterine contraction fatigue