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子宫切除术在产科大出血患者中的应用价值
引用本文:巩硕.子宫切除术在产科大出血患者中的应用价值[J].医药论坛杂志,2009(10).
作者姓名:巩硕
作者单位:河南省虞城县人民医院;
摘    要:目的探讨产科急症子宫切除术在抢救产科大出血患者中的应用价值。方法对23例急症产科子宫切除术患者的临床资料进行回顾性分析。结果23例产科大出血患者经保守治疗无效而行子宫切除,其中宫缩乏力9例,软产道撕裂伤5例,D IC4例,子宫胎盘卒中3例,子宫破裂2例,出血量在1 300~3 300m l,其中22例均在子宫切除术后痊愈出院,住院时间2~13d,平均住院时间7天。1例因院外转入时病情较重,失去了挽救时机而在术后死亡。结论孕产次、多胎妊娠、催引产方法的使用等因素与产科急症切除子宫相关。产科急症子宫切除术是治疗急性产科大出血的有效措施之一。

关 键 词:孕妇  产后出血  子宫切除术  

Application Value of Hysterectomy in Patients with Obstetric Hemorrhagia
GONG Shuo Yucheng People's Hospital,Yucheng ,China.Application Value of Hysterectomy in Patients with Obstetric Hemorrhagia[J].Journal of Medical Forum,2009(10).
Authors:GONG Shuo Yucheng People's Hospital  Yucheng  China
Affiliation:GONG Shuo Yucheng People's Hospital,Yucheng 476300,China
Abstract:Objective To explore the application value of hysterectomy in rescuing patients with obstetric hemorrhagia.Methods To retrospectively analyze the data of 23 cases.Results Among 23 cases who underwent hysterectomy due to failure of conservative treatment,there were 9 cases weak uterus constriction,DIC 4 cases,hysterorexia 2 cases,hemorrhage volume 1300~3300ml,22 cases was healed and discharged after hysterectomy,hospitalization time 2~13d,average 7d.Conclusion Hysterectomy is related to time of pregnancy,mul...
Keywords:Gravida  Postpartum hemorrhage  Hysterectomy  
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