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目的:分析剖宫产术后子宫下段收缩乏力性大出血的临床表现,探讨护理措施及疗效。方法:对2009年3月～2011年7月笔者所在医院妇产科接收的41例子宫下段收缩乏力致产中大出血产妇进行分析。结果:26例剖宫产术中、术后因子宫下段收缩乏力致大出血者,经上述方法处理后,均于10～15min后止血,子宫收缩良好,阴道出血转为中、少量间歇性。3例严重者经抗休克治疗后生命体征趋于平稳。之后严密观察24～48h,无异常反应,全部产妇产后一周痊愈出院。结论:在子宫下段多点注射缩宫素,局部纱布填塞,辅之按摩、缝扎,对预防和治疗剖宫产后大出血的疗效确切。
Objective: To analyze the clinical manifestations of post-cesarean section with genital wounded hemorrhage and to explore nursing measures and curative effects. Methods: From March 2009 to July 2011, 41 cases of lower uterine bleeding due to maternal fatigue in middle and high school were collected from the obstetrics and gynecology department of the author’s hospital. Results: 26 cases of cesarean section, postoperative uterine segment due to shortness of systolic bleeding caused by bleeding after treatment by the above method, all in 10 ~ 15min after hemostasis, good uterine contractions, vaginal bleeding into a small amount of intermittent. Three cases of severe vital signs stabilized after anti-shock treatment. After close observation of 24 ~ 48h, no abnormal reaction, all maternal one week after delivery was cured. Conclusion: The multi-point injection of oxytocin in the lower uterine segment, local gauze packing, supplemented by massage, suture, the prevention and treatment of cesarean section bleeding after the exact effect.