子宫捆扎治疗剖宫产术中大出血21例临床分析

Clinical Analysis of 21 Cases of Uterine Compression Sutures in the Therapy of Massive Haemorrhage during Cesarean Section

目的:分析子宫捆扎在治疗剖宫产术中出血的应用价值。方法:回顾2年来在我院剖宫产术中,行子宫捆扎(21例)和宫腔纱条填塞(39例)的病例,分析比较24h内的出血量、产后出血发生率以及术后血浆中的P-选择素、D-二聚体。结果:与宫腔填塞组相比,子宫捆扎组24h内的出血量、P-选择素和D-二聚体显著减少,产后出血率降低(P<0.05)。结论:子宫捆扎是治疗剖宫产术中出血的重要措施之一。

Objective To analysis the value of uterine compression sutures in the intrauterine in the therapy of massive haemorrhage during cesarean section.Methods Recalling massive haemorrhage cases during cesarean section in our hospital 2 years,which are uterine compression sutures 21 cases and intrauterine gauze packing(39 cases),analyze and compare the amount of bleeding within 24 hours,the P-selectin,D-dimer and the rate of postpartum hemorrhage.Results Compared with intrauterine gauze packing groups,the amount ...