摘要
目的探讨产后出血致子宫切除的原因、时机、方式及临床处理。方法回顾性分析2005年1月至2012年12月在我院因产后出血致子宫切除的32例患者的病历资料。结果产后出血致子宫切除胎盘因素是最多见的原因(18例),其中胎盘植入11例,凶险性前置胎盘7例(3例合并胎盘植入),前置胎盘3例(2例合并胎盘植入),胎盘早剥2例;其次为子宫因素(12例);羊水栓塞和凝血功能障碍各1例。22例为瘢痕子宫;全子宫切除术21例,次全子宫切除术11例。结论胎盘因素是产后出血致子宫切除术的主要原因,其次为子宫因素。
Objective To study the cause,opportunity,surgical approach and clinical treatment of hysterectomy due to post- partum hemorrhage. Methods Thirty-two cases of hysterectomy due to postpartum hemorrhage from January 2005 to December 2012 in our hospital were retrospectively analyzed. Results The placenta factor was the most common reason （n = 18）. In these cases, 11 cases had placenta implantation,7 cases had pernicious placenta previa （3 cases were complicated with placenta accrete） ,3 cases had placenta previa （2 cases were complicated with placenta accrete）, and 2 cases had placental abruption. The uterine factors were the second common reason （n = 12）. One case was suffered from amniotic fluid embolism and one patient from coagulation dysfunction. There were 22 cases with uterine scar in hysterectomy. Hysterectomy was performed in 21 cases,and subtotal hysterectomy in 11 cases. Conclusions Placental abnormalities followed by uterine factors are the major reasons for hysterectomy due to postpartum hemorrhage
出处
《实用医院临床杂志》
2013年第2期93-95,共3页
Practical Journal of Clinical Medicine
关键词
产后出血
子宫切除
Postpartum hemorrhage
Hysterectomy
