子宫腔填塞纱布控制产后出血的临床效果观察

The clinical value of intra-uterine pack with sterilized gauze for control of postpartum hemorrhage

目的:探讨子宫腔填塞纱布控制产后出血的临床效果。方法:对69例产后出血患者子宫腔填塞纱布止血的病历资料进行回顾性分析。结果:此方法用于控制产后出血的成功率高,减少了产科急症子宫切除率。结论:子宫腔填塞纱布对于控制产后出血,尤其是胎盘剥离面渗血有良好的临床效果,不论对剖宫产或阴道分娩者均有效。方法简单,值得推广。

Objective： To detect the clinical result of intra - uterine pack with sterilized gauze for control of postpartum hemorrhage. Methods： 69 patients with intra - uterine pack with sterilized gauze for control of postpartum hemorrhage, were analyzed retrospoctively. The reason of hemorrhage, amount of blood loss and blood transfusion, successful rate of controlling postpartum hemorrhage, amount of hemoglobin, postoperative morbidity, complication, uhrasonography were analyzed. Results： Intra - uterine pack with sterilized gauze could control postpartum hemorrhage successfully, decrease rate of emergency hysterectomy. Conclusion： The technique can control postpartum hemorrhage when cesarean section or vaginal delivery, especially stop the extensive diffuse bleeding on the trauma surface of uteros. The simple technique is worth applying widely.