摘要
目的探讨经产妇剖宫产术中出血的发生原因和预防措施。方法以94例经产妇剖宫产病例为研究组,同期94例初产妇剖宫产病例为对照组,分析比较2组的剖宫产指征、术中出血发生率及其原因。结果经产妇剖宫产指征以头盆不称为多;研究组的术中平均出血量、术中出血发生率显著高于对照组;导致经产妇剖宫产术中出血的原因主要为宫缩乏力和切口撕裂。结论经产妇剖宫产术中出血发生率高,应重视经产妇分娩,及早诊断和处理经产妇头位难产是预防的关键。
OBJECTIVE To explore the causes and the prevention of intraoperative hemorrhage in repregnancy cesarean section. METHODS 94 cases repregnancy cesarean section were analysed as study group, and 94 cases primary pregnancy cesarean section at the same stage were controlled, compared the cesarean section indication, the rate of intraoperative hemorrhage and the causes of hemorrhage between two groups. RESULTS The indication of most repregnancy cesarean section is cephalopelvic disproportion.The average blood loss and rate of intraoperative hemorrhage in study group were significantly increased compared with that of contral group. The causes of intraoperative hemorrhage in repregnancy cesarean section group were uterine atony and uterine laceration.CONCLUSION The rate of intraoperative hemorrhage in repregnancy cesarean section was significantly higher. Paid most attentions to the laber of repregnancy women was necessary, early diagnosis and treatment of cephalic dystocia play important roles in repregnancy women.
出处
《中国初级卫生保健》
2005年第7期78-79,共2页
Chinese Primary Health Care
关键词
经产妇
剖宫产
术中出血
repregnancy women, cesarean section, intraoperative hemorrhage
