宫腔纱布填塞治疗剖宫产术中大出血75例分析

Analysis of 75 cases of filling ganse in the intrauterine in the therapy of massive haemorrhage during cesarean section

目的探讨宫腔纱布填塞治疗剖宫产术中大出血的治疗作用。方法选择剖宫产大出血中因胎盘因素出血42例, 因宫缩乏力出血35例, 均采用宫腔纱布填塞治疗。结果总有效率 84% (75 例中成功 63 例),其中胎盘因素出血有效率89%, 宫缩乏力因素出血有效率 76 .7%, 治疗效果除与术中操作是否得当、术者是否及时果断使用该方法止血有关外, 还与填塞时出血量有关, 出血量>2000 ml与出血量<2000 ml治疗有效率对比有明显差异 (P<0 .05), 术后病率低, 本组病例未发生宫腔感染、伤口感染及远期产后大出血等。结论宫腔纱布填塞术是一种简单易行、见效快、效果好、安全的治疗剖宫产术中大出血的方法。

Objective To assess the role of filling ganse in the intrauterine in the therapy of massive haemorrhage during cesarean section.Methods Seventy-five cases of massive haemorrhage during cesarean section were selected to accept the therapy by filling ganes to intrautering.Among them,40 cases were due to phacental factor and the other 35 cases were due to interrine interia.Results The total effective rate of this therapy was 84%.The effective rate of phacental factor was 89%.The effective rate of interrine interia was 76.7%.The therapentic effect was related to proper operation,using the method in time and the degree of haemorrhage,the therapentic effect was different between the haemorrhage more than 2 000 ml and less than 2 000 ml(P<0.05).This therapy of the postoperative complications was low,such as intrauterine infection,wound infection and later postpartrnm haemorrhage etc.Conclusion To fill ganse in the intrautering is a simple,easy,quick,efficent and safe method in the therapy of massive haemorrhage during the cesarenn section.