剖宫产后并发症的诊治及相关因素分析

Hematologists of the first people's hospital of Shangqiu city

目的探讨剖宫产近远期并发症的相关因素及防治。方法对207例剖宫产进行回顾性分析。结果本组207例剖宫产病例近期并发症中,产后出血居首位,占43.96%,其中大出血5例(2.42%)。产后出血的主要原因是子宫收缩乏力。远期并发症中腹壁切口愈合不良患者居多,占24.64%。结论为减少剖宫产术并发症的发生,首先要严格掌握剖宫产指征,杜绝行不合理剖宫产术,同时术者必须熟练掌握剖宫产技术。手术应稳、准、轻、巧,避免追求手术速度而忽视手术质量。

Objective To explore the relevant factors and prevention and treatment of near long-term complications of cesarean section. Methods 207 cases of cesarean section were analyzed retrospectively. Results Among short-term complications of 207 cases of cesarean section in this group, postpartum hemorrhage ranked at the first place,accounting for 43.96% ,of which five cases of bleeding（2. 42% ）. The main reason for postpartum hemorrhage was weak uterine contraction. Among long-term complications of patients, abdominal incision healing bad was the most, accounting for 24. 64%. Conclusion To reduce the incidence of complications of cesarean section, firstly we must grasp strict indications for cesarean section, eliminate unreasonable cesarean section, at the same time physicians are required to master the skilled technique of cesarean section. Surgery should be steady, accurate, light, clever, and avoiding the neglect of the surgical quality for the pursuit of surgery speed.