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目的:探讨人工流产术中出血的发病原因、诊断治疗及预防措施。方法:对2005年6月~2014年5月收治的15例人工流产术中出血患者的临床资料进行回顾性分析。结果:15例患者均明确诊断为宫内妊娠。其中4例出血患者经纱条宫腔填塞压迫止血,9例经弗雷氏尿管水囊压迫止血,均止血成功;术后7天内超声检查宫腔均无异常回声,测血β-HCG 10例在9~12天恢复正常,3例13~15天恢复正常。2例瘢痕妊娠误诊,经弗雷氏尿管水囊压迫成功止血后转上级医院行子宫动脉栓塞。结论:人工流产术中出血与剖宫产史及人工流产史密切相关,弗雷氏尿管可简便、快速、安全、有效地发挥止血作用,值得基层医院应用推广。
Objective: To investigate the causes, diagnosis, treatment and preventive measures of hemorrhage in induced abortion. Methods: The clinical data of 15 cases of hemorrhage in induced abortion from June 2005 to May 2014 were analyzed retrospectively. Results: 15 patients were diagnosed as intrauterine pregnancy. Among them, 4 cases of hemorrhage were warmed by hysterosal packing and 9 cases were hemostatic by hemorrhage of Fouler’s catheter, all of which were successful hemostasis. There was no abnormal echo in uterine cavity within 7 days after operation, and 10 cases of β-HCG In 9 to 12 days returned to normal, 3 cases returned to normal 13 to 15 days. 2 cases of misdiagnosis of scar pregnancy, after the success of the Foucault catheter compression hemostasis to the higher hospital line uterine artery embolization. Conclusion: The bleeding in induced abortion is closely related to the history of cesarean section and induced abortion. Frei catheter can play a role of hemostasis simply, rapidly, safely and effectively, which is worth to be popularized in primary hospitals.