自制宫腔水囊压迫治疗产后出血在基层医院转诊中的应用研究

Research of Self-make Uterine Water Sac Compression in the Treatment of Postpartum Hemorrhage Patients in Primary Hospital before Referral

目的：探讨自制宫腔水囊压迫治疗产后出血在基层医院转诊中的应用研究。方法：选择2009年10月-2012年4月玉林市第一人民医院出诊基层医院（包括县级医院及乡镇卫生院）产后出血产妇38例作为研究对象,经按摩子宫、应用子宫收缩剂等常规处理方法后,仍有阴道大量出血或有大出血倾向,转诊前行自制宫腔水囊压迫止血治疗,研究治疗后阴道流血情况。结果：38例产妇应用自制宫腔水囊压迫止血,阴道流血量立即明显减少。12~24h取出水囊,38例均未再次发生大出血,止血率100%。无死亡、感染情况。结论：自制宫腔水囊压迫治疗产后出血效果佳、止血迅速、操作简便、容易掌握,留置时间短,并发症少,可作为基层医院产后出血产妇转诊前的常规处理。

Objective：To Study the application of self-make uterine cavity water sac compression in the treatment of postpartum hemorrhage patients in primary hospital before referral.Method：From Oct.2009 to April.2012, we select 38 cases as research object who hemorrhaged in vaginal delivery in primary hospital （ including county hospital and township health center ）, after massage uterus, self-make uterine contraction agent routine methods was invalid, water sac compression was used before referral, observing vaginal bleeding.Result：38 cases used self-make uterine water sac compression, vaginal bleeding amount immediately were obviously reduced.After using it 12-24 hours to remove water sac, 38 cases did not hemorrhage again, hemostatic efficiency 100%.No one case dled.Conclusion：Self-make uterine water sac compression to treat postpartum hemorrhage of selfmake uterine atony is effective, hemostatic rapid, simple operation, easy to grasp, hen short time, the fewer complications, which can be used as a conventional treatment in primary hospital before referral.