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目的分析剖腹产术中出血的原因,并总结了几种止血方法,为降低剖腹产术中出血提供依据。方法选取了2012年1月至2013年2月到本院进行剖腹产术中出血的患者276例,根据患者的病情,分别采取了子宫切除、宫腔砂条塞填、缝扎止血、药物治疗、子宫动脉结扎等方法,分析出血原因,总结治疗的方法。结果宫缩乏力、切口撕裂、凝血障碍、胎盘因素、子宫肌瘤等是导致剖腹产术中出血主要的原因,在治疗后,所有的患者均无生命危险。结论在临床中应根据患者的病情和出血原因,采取合理剖腹产术中止血方法,保证母婴安全。
Objective To analyze the causes of bleeding in caesarean section and to summarize several methods of hemostasis to provide the basis for reducing bleeding during caesarean section. Methods A total of 276 cases of bleeding during cesarean section in our hospital from January 2012 to February 2013 were selected. According to the patients’ condition, we took hysterectomy, Uterine artery ligation and other methods to analyze the causes of bleeding, summarize the treatment. Results Uterine atony, incision torn, coagulation disorders, placental factors, uterine fibroids and other causes caesarean section bleeding the main reason, after treatment, all patients without life-threatening. Conclusion According to the patients’ condition and the cause of bleeding, we should take reasonable cesarean section to stop the bleeding and ensure the safety of mother and infant.