19例产科因素子宫切除临床分析
产后出血,,产后出血；子宫切除,1资料与方法,2结果,3讨论,【参考文献】
【摘要】 目的 分析致产后出血的因素，子宫切除的发生率、手术时机及并发症。方法 采用回顾性资料分析方法，对我院1995年7月～2005年6月因产后出血切除子宫的19例临床资料进行分析研究。结果 10年中我院分娩总数30896例，19例行子宫切除术，发生率约为0.61‰。胎盘因素8例，其中胎盘植入7例，前置胎盘1例；产后宫缩乏力7例；羊水栓塞2例；子宫破裂2例。结论 产时产后出血、胎盘因素和子宫收缩乏力为子宫切除主要原因。因此,掌握好子宫切除的时机已经成为救治产科出血患者的关键。【关键词】 产后出血；子宫切除
Clinical analysis of obstetrical hysterectomy:a report of 19 cases
CHENG Xia,LI Fang-li,QI Yu-ling.Anqiu Peoples Hospital,Anqiu 262100,China
【Abstract】 Objective To analyse causes of postpartum hemorrhage and incidence of obstetrical hysterectomy,operation time and complications of the surgery.Methods We retrospectively analysed 19 cases of obstetrical hysterectomy for management of postpartum hemorrhage from July 1995 to June 2005.Results Total of 30896 women delivered in ten years.19 cases had obstetrical hysterectomy and the incidence was 0.61 per 1000.8 cases caused by placental factors including 7 cases of placenta accreta and 1 case of placenta previa.7 cases caused by uterine atony.2 cases were of amniotic embolization,2 cases of ruptured uterine.Conclusion Retained placenta or placenta accrete and uterine atony are the main risk factors of peri-and post-partum hemorrhage and in turn lead to obstetrical hysterectomy. ......
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