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我院1960～1986年共施行剖宫产术15507例,手术中发生了严重并发症共25例,发生率为0.16%。现将其发生情况及预后报道如下。资料分析1.小肠子宫瘘2例。均为初产,孕39周,因头盆问题分别在临产后23小时和16小时子针麻下做子宫下段剖宫产术。胎儿娩出后检查,子宫切口均有2cm延裂,予以缝合止血。其中1例术中肠胀气明显。两例病人均在手术后24小时出现上腹部阵发性绞痛、呕吐等不全肠梗阻症状。术中肠胀气明显的一例尚并发有术后严重的盆腔感染。2例病人分别在于术后第7天和第9天发现小肠子宫瘘、小肠宫颈瘘,经控制饮食、静脉营养、抗感染、局部清洁(小肠宫颈瘘的病
15,507 cases of cesarean section were performed in our hospital from 1960 to 1986, and 25 cases of serious complications occurred during the operation, the incidence was 0.16%. Now its occurrence and prognosis are reported below. Data Analysis 1. 2 cases of small intestine and uterine fistula. Are primiparous, 39 weeks of gestation, because of the first basin problems were 23 hours after childbirth and 16 hours of sub-Acupuncture under the uterus to do cesarean section. Fetal examination after delivery, uterine incision are 2cm split, to suture hemostasis. One case of intraoperative flatulence obvious. Two patients in the 24 hours after surgery appear on the abdomen paroxysmal colicky, vomiting and other symptoms of incomplete intestinal obstruction. An obvious case of flatulence during surgery is still complicated by severe postoperative pelvic infection. Two cases of patients were found on the 7th and 9th day postoperative intestinal uterine fistula, small intestine cervical fistula, controlled diet, intravenous nutrition, anti-infection, local cleaning (small intestinal fistula disease