产科急症子宫切除术16例分析

Analysis of 16 Cases of Emergency Obstetrical Hysterectom

回顾分析近 12a产科急症子宫切除术 16例 .16例均为子宫出血 ,其中剖宫产 13例 ,阴道产 3例 ,子宫出血的主要原因是各种胎盘异常 ,其发生与多次流产及宫腔操作史有关 .阴道产后子宫切除失血量往往多于剖宫产者 .提示在产后出血失代偿期经过迅速治疗处理后 ,子宫出血仍不能有效控制 ,应当机立断行子宫切除术 。

The indication of the 16 cases of emergency cesarean hysterectomy was uterine hemorrhage. Among them,13 cases were cesarean section (CS) and 3 cases were vaginal delivery (VD). It is shown that CS is the high risk factor of emergency obstetrical hysterectomy. The first reason of uterine bleeding was some kind of abnormal placenta related to frequent abortion. Blood loss in VD was more than in CS and leaded to maternal death easier. It was pointed that if bleeding still could not be controlled through continuous and fast treatment during primary found and special therapies in the compensatory period, then hysterectomy should be done immediately.