摘要
目的:探讨引起剖宫产术后晚期产后出血的临床原因。方法:对2003-2013年收治的剖宫产分娩后发生晚期产后出血16例产妇的记录资料进行回顾性分析。结果:本院剖宫产后晚期产后出血发生率0.12%。剖宫产术后晚期产后出血的主要原因是胎盘胎膜残留、子宫切口感染,与剖宫产术式及操作技巧、产妇的全身状况有关。结论:剖宫产术后晚期产后出血的治疗方式以清宫为主,对急性出血者可行血管介入治疗,不得已情况下才考虑行子宫切除术。
Objective:To investigate the cause of the postpartum hemorrhage after cesarean section.Methods:We retrospectively analyzed the record datas of 16 cases of maternal postpartum hemorrhage uterine after delivery from 2003 to 2013.Results:The incidence of late postpartum hemorrhage after cesarean section was 0.12% in our hospital.The main cause of late postpartum hemorrhage after cesarean section is retained placenta,and uterine incision infection。It is associated with cesarean section and operating skills,and maternal body condition.Conclusion:The most treatment of late postpartum hemorrhage after cesarean section was curettage.We can take interventional therapy to treat the acute hemorrhage.No case was considered a hysterectomy.
关键词
剖宫产
晚期产后出血
剖宫产术式
血管介入
Cesarean section
Late postpartum hemorrhage
Cesarean section
Vascular intervention
