严重产后出血是指胎儿娩出后24 h内出血速度快,出血量大于等于1 000 ml,严重产后出血多导致失血性休克、弥散性血管内凝血等严重产科不良后果,是造成母亲死亡的最重要的原因。子宫切除则是对于严重产后出血患者保守治疗失败,危及产妇生命时最终的有效措施[1]。目前各国各地报道子宫切除术的发生率各不相同,大约为0.03%~0.30%[2]。现将我院近十年来围生期子宫切除30 Severe postpartum hemorrhage refers to the fetus within 24 h after delivery bleeding speed, bleeding greater than or equal to 1 000 ml, severe postpartum hemorrhage and more lead to hemorrhagic shock, disseminated intravascular coagulation and other serious adverse consequences of obstetrics, is the most important cause of maternal death the reason. Hysterectomy is the definitive treatment for patients with severe postpartum hemorrhage, endangering maternal life and the ultimate effective measures [1]. At present, the incidence of hysterectomy reported in various parts of the country varies from about 0.03% to 0.30% [2]. Now my hospital nearly 10 years of perineal hysterectomy 30