摘要
目的 研究剖宫产手术至术后 2 4h出血总量。方法 上海市 6所医院用吸引器抽吸及纱布称重法分阶段测量剖宫产手术 ,术后 2h ,术后 4h及术后 2 4h以及两者的出血总量。结果 5 39例剖宫产手术至术后 2 4h失血总量为 (4 94.34± 2 11.16 )ml,失血总量大于 5 0 0ml、6 0 0ml及 70 0ml者各为 43.79% ,2 3.94%及12 .44 %。6所医院剖宫产至术后 2 4h失血量在 (387.94± 16 1.32 )ml至 (797.7± 2 0 5 .5 2 )ml,手术中的失血量约占总失血量的三分之二 ,失血量与前置胎盘及巨大儿有明显关系 ,并可能与促子宫收缩剂的剂量有关。结论 本研究的剖宫产手术至术后 2 4h平均失血总量约为 5 0 0ml,建议剖宫产的产后出血定义应修改为≥ 6 0
Objective To study the total blood loss during cesarean section and the first 24 hours after cesarean section. Methods We use the section bottle collection and pad weighting method to estimate the blood loss during the period of cesarean section, 2 hours after cesarean section, 4 hours after cesarean section, 24hours after cesarean section and total blood loss during cesarean section and the first 24 hours after cesarean section in six hospitals. Results The total blood loss from cesarean section to the first 24 hours after operation of in 539 cases was (494.34ml±211.16) ml. Total blood loss more than 500ml, 600ml and 700ml were 43.79%, 23.94% and 12.44% respectively. Total blood loss of the six hospitals varied from 387.94ml±161.32ml to (797.7ml±205.52) ml. The blood loss during cesarean section accounted for two third of total blood loss. Total blood loss was closely related to placenta previa and macrosomia, and maybe related to the dose of oxytocic drugs used at and after the operation. Conclusion The total blood loss during cesarean section and first 24 hours after operation is 500ml approximately, so the definition of postpartum hemorrhage after cesarean section must be modified.
出处
《上海医学》
CAS
CSCD
北大核心
2001年第6期332-335,共4页
Shanghai Medical Journal
基金
上海市局科学研究基金资助
关键词
剖宫产
产后出血
前置胎盘
巨大儿
Postpartum hemorrhage
Cesarean section
Placenta previa
Macrosomia
