摘要
目的:探讨胎盘胎膜残留所引发的晚期产后出血患者的临床表现和治疗方案。方法:2010-2013年收治因胎盘胎膜残留导致晚期产后出血患者98例,对其临床资料以回顾性方法进行分析,归纳其临床特点。结果:28例患者接受药物保守治疗,其治愈率71.4%(20/28),其余8例患者保守治疗失败后进行清宫术治疗,痊愈出院。70例患者直接接受清宫术治疗,顺利治愈出院。结论:对胎盘胎膜残留导致晚期产后出血保守治疗方案中,生化颗粒冲剂和米索前列醇片是常用药物,而手术治疗则以清宫术为重要手段。在选择治疗方案时应该全面考虑患者的临床状况,最大程度保障其身体健康和生活质量。
Objective:To explore the clinical manifestations and treatment of patients with late puerperal hemorrhage caused by retained placenta and membranes.Methods:The clinical data of 98 cases with late puerperal hemorrhage caused by retained placenta and membranes from 2010 to 2013 were analyzed with retrospective method.We summarized their clinical characteristics.Results:The cure rate of 28 cases treated by conservative medicine was 71.4%(20/28),and the rest of 8 patients failed in conservative treatment were treated with uterine curettage and recovered satisfactorily.70 patients were treated with uterine curettage directly and recovered satisfactorily.Conclusion:Shenghua granule and misoprostol tablets are the common drugs in the conservative treatment of late puerperal hemorrhage caused by retained placenta,and membranes and uterine curettage is the important surgery.The patient's clinical condition should be considered fully when choosing treatment plan in order to protect the security and quality of life furthest.
关键词
胎盘胎膜残留
晚期产后出血
临床状况
Retained placenta and membranes
Late puerperal hemorrhage
Clinical status
