剖宫产术后晚期产后出血治疗方法探讨

Treatments on Late Postpartum Hemorrhage after Cesarean Section

目的:探讨剖宫产术后晚起产后出血的发生和治疗方法。方法:回顾性分析2006年-2012年我院12例剖宫产术后晚起产后出血的治疗情况,其中有7例常规缩宫,抗炎,1例清宫,3例在缩宫,抗炎后口服戊酸雌二醇和甲羟孕酮。结论:常规的缩宫抗炎治疗大多有效,效果不佳时,激素治疗仍是治疗剖宫产术后晚期产后出血的一种有效的方法。

Objective：To investigate on the causes and treaments of late postpartum hemorrhage after cesarean section. Methods： review the treatments of 12cases with late postpartum hemorrhage after cesarean section in Affiliated Hospital of Tibet University for Nationalities during 2006-2012, in which 7 cases were treated by conventional contractions and anti-inflammatory, and one cases by uterus curettage, 3cases by pentanoic acid estradiol and medroxyprogesterone after conventional contractions and anti-inflammatory,Resutts： The results indicated that under the conditions of top suture, the average period of the formers wound healing and hospital-stay was 10 days and 18 days, respectively, and the longest period of wound healing was 30 days, two cases of the wound secondary cracks. However, the period of the latters wound healing and hospital-stay were 3-10 days and about 8 days, respectively. Conclusion： The wound dressing change using recombinant bovine basic fibroblast growth factor is very efficient for adominal incision dehiscence after C-section. The patients went through quite cure, less oain and low cost load. So this method should be popularized.