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目的就剖宫产术中子宫出血15例防治体会进行探讨。方法选取2008年1月～2010年12月某院妇产科进行剖宫产分娩且子宫出血的患者50例,50例中年龄为20～35岁;经产妇为16例,初产妇为34例。该院近10年来剖宫产术中遇到子宫大出血50例,采取了8字缝合子宫出血创面及压迫缝合子宫法。结果有效制止出血成功保留子宫。结论每一例产妇均有发生大出血可能,需要警觉每一例产妇。每一例手术需要有严格的术前讨论和风险评估,做好配血和备血,对重度贫血、血小板减少或凝血功能障碍术前要纠正。
Objective To investigate the prevention and treatment of 15 cases of uterine bleeding in cesarean section. Methods From January 2008 to December 2010, 50 cases of cesarean delivery and uterine bleeding in a hospital from January 2008 to December 2010 were selected. Among 50 cases, the median age ranged from 20 to 35 years. The number of mothers was 16 and the number of primipara was 34 . In the past 10 years, the hospital encountered 50 cases of uterine bleeding in cesarean section and adopted the 8-character sutured uterine bleeding wound and compression suture uterine method. The results effectively stop the bleeding to retain the uterus. Conclusions Every case of maternal bleeding may occur, need to be alert to every case of maternal. Each procedure requires a rigorous preoperative discussion and risk assessment, with blood and blood preparation for severe anemia, thrombocytopenia or coagulopathy to be corrected before surgery.