【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。

    【关键词】:急症子宫切除术;子宫收缩乏力;产科出血

    【中图分类号】R713.4+2【文献标识码】A【文章编号】1007-8517(2010)06-141-2

    Obstetric emergency clinical analysis of 38 cases of hysterectomy

    [Abstract]: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. ......