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本文通过我院1983～1987年产道血肿145例分析,发现99%的产道血肿在产后12小时内临床发现,左侧居多.初产、双胎.孕37周以下产妇及第二产程延长者血肿发生率高,妊高征、肝功能损害、中重度贫血者血肿发生率高.产道血肿处理原则是切开缝扎,术毕用浸有50%硫酸镁甘油纱条填塞.腹膜外或阴道上血肿且病情稳定者可考虑保守疗法.对有易发生血肿倾向者应注意产前纠正,产时可肌注维生素K_1及静脉滴抗血纤溶芳酸.
This article from 1983 to 1987 in our hospital 145 cases of hematoma of the birth canal and found that 99% of the hematoma of the birth canal within 12 hours postpartum clinical findings, most of the left side of the primiparous, twins. Pregnant 37 weeks pregnant women and second stage extension of hematoma High incidence of pregnancy-induced hypertension, liver dysfunction, high incidence of hematoma in patients with moderate to severe anemia. The principle of treatment of hematoma is to open the incision sutured, the operation is completed with 50% magnesium sulfate gauze gauze, extraperitoneal or vaginal Hematoma and stable condition may be considered conservative treatment of prone to hematoma tend to pay attention to prenatal correction, intramuscular injection of vitamin K_1 and intramuscular injection of anti-fibrinolytic acid.