欣母沛在宫缩乏力性产后出血中的应用

Application of hemabate in postpartum hemorrhage caused by uterine inertia

目的比较欣母沛与宫腔填纱在治疗宫缩乏力性产后出血中的疗效。方法2006年1月至2007年12月我院收治宫缩乏力性产后出血患者111例。35例为欣母沛治疗组,76例为宫腔填纱治疗组,并对两组资料进行回顾性分析。结果欣母沛组均成功止血,且无一例产褥感染、晚期产后出血;宫腔填纱组75例成功止血,1例止血效果欠佳,出血量达3000mL,行子宫次全切,术后24h拔纱,发生晚期产后出血2例,产褥感染5例。结论欣母沛治疗宫缩乏力性产后出血疗效好,值得基层医院推广。

Objective To compare the therapeutic effect of hemabate and uterine packing on postpartum hem- orrhage caused by uterine inertia. Methods 111 patients with postpartum hemorrhage caused by uterine inertia in our hospital were enrolled （ From Jan 2006 to Dec 2007 ）. The patients were divided into 2 groups ： patients in hemabate group were treated with hemabate（35 cases） ;while patients in uterine packing group were Weated with uterine packing （76 cases）. Therapeutic effects of 2 groups were analyzed retrospectively. Results The hemostasis success in hema- bate group,no puerperal infection and postpartum hemorrhage was found. Except for one patient, the uterine packing group had successful hemostasis（ the subtotl hysterectomy was performed on the patient for the big blood loss-3 000 mL）, and the late postpartum hemorrhage （ 2 cases） and puerperal infection （ 5 cases） happened. Conclusion Hemabate has better therapeutic effect on postpartum hemorrhage caused by uterine inertia, and deserves the primary hospitals＇ex- pansion.