【摘要】 目的 探讨子宫动脉结扎与宫腔填纱同时应用在治疗剖宫产术中大出血的应用价值。方法 对10例剖宫产术中大出血患者(出血量在1 000～3 700 ml之间)，在施行双侧子宫动脉结扎之后，子宫对宫缩剂反应不良、子宫收缩欠佳或胎盘剥离而仍有较明显的活动性出血患者，即行宫腔大纱垫填塞术。结果 宫腔所填纱垫在术后24～46 h于静脉滴注催产素的情况下取出，全部所取出纱垫均无特殊异味，取纱时宫腔出血量在10～30 ml之间,10例患者均未造成子宫脏器的丢失。结论 子宫动脉结扎和宫腔填纱均为治疗子宫大出血的有效方法，两者联合应用，疗效明显好于单一方法，并有可能避免因术中大出血而行子宫切除术。

    【关键词】 子宫动脉结扎；宫腔填纱；剖宫产术；出血

    Analysis of ligating uterine arteries associate with uterine packing in treatment 10 cases of hemorrhage during cesarean sectionLIN Chuan-xi.Futian Shenzhen，Women and Children Health Institute,Guangdong Province,Shenzhen 518026， China

    【Abstract】 Objective To explore the significance of ligation of uterine arteries at same time uterine packing in treatment of hemorrhage during cesarean section.Methods 10 cases with hemorrhage during cesarean section (bleeding quantity in 1 000～3 700 ml) were undergone uterine packing after they were ligated uterine arteries ......