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剖宫产术后晚期产后出血22例分析
引用本文:陈江平,舒丽莎.剖宫产术后晚期产后出血22例分析[J].河北北方学院学报(医学版),2004,21(4):10-11.
作者姓名:陈江平  舒丽莎
作者单位:张家口医学院第一附属医院妇产科,075000
摘    要:目的:探讨造成剖宫产术后晚期产后出血原因及预防方法.方法:通过收集近5年来在我院产科发生及由下级医院转来的剖宫产术后晚期产后出血22例临床病历进行回顾性综合分析.结果:因剖宫产术后子宫切口坏死、感染、部分裂开20例,合并胎盘胎膜残留1例,合并产后子宫收缩乏力1例,其中15例切口裂开位于子宫切口角部,5例位于子宫切口中央,13例行全子宫切除术,4例行子宫次全切除术,保守治疗5例.22例患者均治愈.结论:对于剖宫产术后晚期出血,重在预防,应防治结合.

关 键 词:剖宫产术后  晚期产后出血  预防
文章编号:1005-8796(2004)04-10-02

Clinical analysis for 22 cases of late postpartum hemorrhage after cesarean section
Chen JiangPing,Shu LishaThe first affiliated hospital of HeBei North University,Zhangjiakou,China.Clinical analysis for 22 cases of late postpartum hemorrhage after cesarean section[J].Journal of Hebei North University:Medical Edition,2004,21(4):10-11.
Authors:Chen JiangPing  Shu LishaThe first affiliated hospital of HeBei North University  Zhangjiakou    China
Institution:Chen JiangPing,Shu LishaThe first affiliated hospital of HeBei North University,Zhangjiakou,075000,China
Abstract:Objective: To explore the cause and the preventive methods for late postpartum hemorrhage after cesarean section. Methods: We made retrospective analysis for 22 cases of patients which in our hospital and came from junior hospital. Results: For all these patients ,there were 20 cases of patients had incision necrosis, infection and part dehiscence because of cesarean section. I case compound with placenta and fetal membranes residue. I case compound with hypotonic uterine dysfunction. The patients with incision necrosis lied at uterus incision angle were 15 cases. The patients with incision necrosis lied at uterus incisio central were 5 cases. We made hysterectomy for 13 cases of patients, part hysterectomy for 4 cases of patients. We made conservative treatment for 5 cases of patients. Conclusion: The pivot therapy for late postpartum hemorrhage after cesarean section was prevention ,the prevention and treatment was needed for this disease.
Keywords:cesarean section  late postpartum hemorrhage  prevention
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