摘要
1983年1月～1992年12月我科共行剖宫产4731例，出血量≥500ml者374例，出血率7.90％，是同期阴道分娩出血率2.25％（193/8577）的3.5倍。引起剖宫产出血的主要原因有：子宫收缩乏力（235例，62.83％）、前置胎盘（69例，18.45％）、子宫切口撕裂（35例，9.36％）。在374例中，7例因出血无法控制行子宫切除术（1.87％），本组无产妇死亡。结合本组资料，对剖宫产出血的主要原因及其防治进行了讨论。
From Jan.1988 to Dec.1992,the amount of blood loss of 4731 cases of ce-sarean section were reviewed.In 374 cases,the blood loss was≥500 ml with an incidence of 7.90％,which was 3 times that in vaginal deliveries.The chief causes of profuse hemorrhage were:uterine atony in 235 cases(62.83％);placenta praevia in 69 cases(18.45％);lacera-tion of uterine incision in 35 cases(9.36％).Among these 374 cases,because of incontrol-lable hemorrhage,hysterectomies were performed in 7 cases(1.87％).There was no mater-nal death in our serie.In this paper,the chief causes of profuse hemorrhage,as well as its prophylaxis and management were discussed.
出处
《同济医科大学学报》
CAS
CSCD
北大核心
1994年第4期325-327,共3页
Acta Universitatis Medicinae Tongji
关键词
出血
预防
治疗
剖腹产
cesarean section,hemorrhage,etiology,prophylaxis,therapeutics
