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目的:通过对产科急症子宫切除的临床分析,探讨产科急症子宫切除的原因和价值。方法:回顾性收集并分析40例患者的手术指征,分析产科急症因素子宫切除的临床资料。结果:回顾分析2008年10月～2012年10月40例产科急症子宫切除病例的临床资料。在40例中胎盘因素18例(45.0%),DIC 10例,宫缩乏力7例,子宫破裂2例,羊水栓塞3例。40例患者中,39例治愈出院,治愈率97.5%。结论:剖宫产、流产史、产前检查和宫缩剂使用是影响急诊产科子宫切除的重要因素。
Objective: To investigate the causes and value of emergency hysterectomy through obstetric emergency hysterectomy. Methods: Retrospectively collected and analyzed the surgical indications of 40 patients and analyzed the clinical data of emergency hysterectomy. Results: The clinical data of 40 cases of obstetric emergency hysterectomy from October 2008 to October 2012 were retrospectively analyzed. In 40 cases, placental factors were 18 (45.0%), DIC in 10, uterine inertia in 7, uterine rupture in 2 and amniotic fluid embolism in 3. Of the 40 patients, 39 were cured and discharged, with a cure rate of 97.5%. Conclusion: Cesarean section, abortion history, prenatal examination and the use of uterine contracting agent are important factors affecting emergency hysterectomy.