摘要
目的:探讨改良B-Lynch缝合联合欣母沛(卡前列素氨丁三醇)治疗宫缩乏力性产后出血的疗效。方法:回顾性分析2009年6月-2012年12月该院收治的难治性宫缩乏力产后出血患者60例,设其中25例为改良B-Lynch缝合联合缩宫素组,35例为改良B-Lynch缝合联合欣母沛组,并对2组术中出血量、输血量,止血时间,术后24 h出血量及药物不良反应发生情况进行比较。结果:60例均抢救成功,有效止血,保留子宫及其生理功能,术后未发生严重并发症,未见明显的药物不良反应。结论:改良B-Lynch缝合联合欣母沛治疗宫缩乏力性产后出血疗效显著,值得基层医院推广。
Objective: To explore the curative effect of improved B- Lynch suture combined with Hemabate( carboprost tromethamine) in treatment of postpartum hemorrhage caused by uterine inertia. Methods: Sixty patients with postpartum hemorrhage caused by uterine inertia treated in this hospital from June 2009 to December 2012 were analyzed retrospectively,then the patients were divided into improved B- Lynch suture combined with oxytocin group( 25 patients) and improved B- Lynch suture combined with Hemabate group( 35 patients); the amounts of intraoperative blood loss,the volumes of blood transfusion,the haemostasis time,24- hour amounts of blood loss after surgery and adverse reactions in the two groups were compared. Results: All the patients were rescued successfully,hemostasis was achieved,uterus and uterine function were reserved,no severe complication occurred after surgery,no significant adverse reaction was found. Conclusion: The curative effect of improved B- Lynch suture combined with Hemabate in treatment of postpartum hemorrhage caused by uterine inertia is significant,which is worthy of clinical popularization in primary hospitals.
出处
《中国妇幼保健》
CAS
北大核心
2014年第36期6155-6156,共2页
Maternal and Child Health Care of China