摘要
目的:探讨全子宫切除术后阴道残端出血原因及防治。方法:对2010年1月—2014年12月行全子宫切除术后并发阴道出血20例进行原因分析。结果:术后24 h内有活动性出血者3例,术后24 h^10 d内少量出血4例,术后10 d以上阴道间断有血性分泌物13例。患者术后复诊均恢复正常。结论:针对出血原因,术前纠正并发症,术中做好阴道断端的缝合,术后加强抗感染的治疗,以预防子宫全切术后阴道残端发生出血。
Objective: To explore the etiology and treatment vaginal stump bleeding after hysterectomy. Methods: Twenty patients of vaginal stump bleeding after hysterectomy from January 2010 to January 2014 were retrospectively analyzed. Results: The reasons of vaginal stump bleeding after hysterectomy are unstable ligation of vascular of stump,infection,melt of absorbable thread and granulation. In addition,low albumin,anemia,diabetes and other complications are related to bleeding.There are 3 cases of active bleeding within 24 h after operation,4 cases of small amount bleeding within 24 h ∽ 10 d after operation,and 10 cases of more than 10 d intermittent bloody vaginal discharge. Conclusion: To strength the management of preoperative prevention of vaginal stump bleeding: treating of complications before operation,carefully suturing of stump in operation and antibiotic treatment after operation.
出处
《临床医药实践》
2015年第9期679-681,共3页
Proceeding of Clinical Medicine