宫腔纱条填塞治疗及预防剖宫产术中出血的效果观察

Effect of Intrauterine packing with gauze in treating and preventing hemorrhage in caesarean section

目的观察宫腔纱条填塞在治疗及预防剖宫产术中出血的效果。方法 42例剖宫产术中大出血者经常规方法处理无效者,采用宫腔纱条填塞的方法进行治疗。对26例具有出血倾向的高危孕妇采用预防性宫腔纱条填塞以防止产后出血。结果 42例用宫腔纱条填塞治疗产后出血的患者中40例有效,有效率95.2%。26例预防性宫腔纱条填塞者无一例发生产后出血,有效率100%。结论宫腔纱条填塞是治疗和预防剖宫产术中大出血的较好方法,止血迅速,简单易行。

Objective To observe the effect of intrauterine packing with gauze in treating and preventing hemorrhage in Caesarean Section.Methods Treating 42 cases of massive hemorrhage during Caesarean Section with intrauterine gauze packing,with whom conventional methods have proven ineffective.In the case of 26 high-risk pregnancy,we have also applied intrauterine gauze packing to prevent postpartum hemorrhage.Results Among the 42 cases who suffers from massive hemorrhage during Caesarean Section,40 are successfully treated with this method,which brings the success rate to 95.2%.Among the 26 cases high-risk pregnancy,none suffers from postpartum hemorrhage,which brings the success rate to 100%.The total success rate of intrauterine is 97%.Conclusion Intrauterine packing with gauze is an effective method in treating and preventing hemorrhage in Caesarean Section.It staunch hemorrhage quickly and is easy to implement.