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目的:探讨宫缩乏力引起产后出血的救治方法。方法:应用B-lynch缝合术或加双侧子宫动脉结扎或双侧髂内动脉结扎术,双侧子宫动脉或双侧髂内动脉栓塞术等实施救治35例患者。结果:34例抢救成功,1例合并脑出血死亡。结论:应用B-lynch缝合术或加用盆腔内血管结扎术;双侧子宫动脉或双侧髂内动脉栓塞术,均可有效控制出血,免于子宫切除;纱布宫腔填塞不宜应用于宫缩乏力引起产后出血。
Objective: To investigate the treatment of uterine inertia caused by postpartum hemorrhage. Methods: 35 patients were treated with B-Lynch suture or bilateral uterine artery ligation or bilateral internal iliac artery ligation, bilateral uterine artery or bilateral internal iliac artery embolization. Results: 34 cases were successfully treated and 1 case died of cerebral hemorrhage. Conclusion: B-lynch suture or pelvic vascularization can be used. Bilateral uterine artery or bilateral internal iliac artery embolization can effectively control the bleeding and prevent the hysterectomy. Postpartum hemorrhage caused by fatigue.