摘要
目的探讨产科急症子宫切除术在临床中的应用及护理。方法回顾性分析我院产科1990-2003年14例行急症子宫切除术病例。结果17064例孕产妇中14例实施了急症子宫切除术，其中阴道分娩后发生率为0．05％，剖宫产后为0．12％，最常见的手术原因为胎盘因素（42．86％），其次为软产道损伤（21．43％）及子宫破裂（14．29％）（其中4例均为非法接生），合并DIC者占57％。结论急症子宫切除术是抢救产科急重症出血，降低孕产妇死亡率的重要措施；杜绝非法接生可减少不必要的子宫切除。
Objective To investigate the Application and nursing of emergency hysterectomy on obstetric clinic. Methods A retrospective review based on our hospital data of 14 patients undergoing emergency obstetrical hysterectomy during 1990-2003. Results Emergency Obstetric hysterectomies were performed on 14 patients over 14 years out of 17 064 deliveries, Postpartum hysterectomy occurred in 0. 05% of normal deliveries and 0. 12% of cesarean sections. The most common indications were placenta factors （42. 86% ）, trauma to the genital tract （21 43% ） and uterine rupture （14. 29% ） （four of the cases were illegal delivery）. 57% （8/14） of them were with DIC. Conclusion Emergency obstetrical hysterectomy is one of the effective methods on arresting severe postpartum hemorrhage and reducing pregnant mortality. Stopping illegal delivery can decrease no necessary hysterectomy.
出处
《现代医院》
2006年第3期76-77,共2页
Modern Hospitals
关键词
产科
子宫切除术
护理
obstetric
hysterectomy
nursing
