晚期产后出血60例经验探讨

Clinical analysis of 60 cases of late postpartum hemorrahage

目的:探讨晚期产后出血的病因及防治措施。方法:回顾性分析60例晚期产后出血的病因及处理。结果:主要病因依次为胎盘、胎膜残留,子宫内膜炎和(或)蜕膜炎,子宫复旧不良,以及剖宫产术的子宫切口感染、裂开出血等。结论:治疗以清宫为主,对急性出血者可行经皮髂内动脉栓塞术或子宫切除术。

Objective：To investigate the etiology,prevention and management of late postpartum hemorrhage.Methods：We retrospectively analyzed the etiology and management of 60 cases of late postpartum hemorrhage.Results：The main causes were retained placenta and membranes,endometritis and decidualitis,subinvolution of uterus,infection.dehiscence and hemorrhage of caesarean incision in turn.Conclusion： The first choice of treating late postpartum haem—orrhage is curettage.Acute hemorrhage can be controlled by transcutaneous internal iliac artery embolization or total hys—terectomy.