剖宫产术后晚期产后出血临床分析

Late Postpartum Hemorrhage after Cesarean Section

目的:探讨剖宫产术后晚期产后出血发生的时间,病因及防治措施。方法:对2002年3月至2007年3月32例剖宫产术后晚期产后出血的病例进行回顾性分析。结果:发病原因依次为子宫切口感染、裂开愈合不良,子宫复旧不良,胎盘蜕膜残留,子宫内膜炎。发生时间以剖宫产术后2周以上占多数81.2%,部分病例21.9%在6周以上。结论:剖宫产手术后晚期产后出血的主要原因是子宫切口感染、裂开愈合不良,出血时间不仅仅局限在产褥期内。针对出血原因进行防治非常重要。

hemorrhage from Mar. 2002 to Mar. 2007 were analyzed retrospectively. Result： The cases were infection, ulser of cesarean incision, subinvolution of uteres, retained placenta or decidua and endometritis in turn. most cases（ 81.2%） had hemorrhage over two weeks after delivey, some even over six weeks （21.9%）. Conclusion： Late postpartum hemorrhage after cesarean section may occur beyond puerperium and the main causes are infection and ulcer of incision. It＇s important to treat accordingly.