论文部分内容阅读
妇科盆腔手术后继发性内出血是罕见的术后严重并发症,必须及时发现并积极抢救,否则可危及病人生命。我院1980年5月～1992年5月,共作妇科手术4952例,有4例发生较严重的术后继发性内出血,发生率0.08％,均及时发现,再次手术,病人恢复良好。 1 病例介绍【例1】王某,48岁。因子宫肌瘤经阴道行子宫切除术,术后5个多小时血压下降,最低时为10.7/8kPa,脉搏105次/min,经一般处理无效。B超检查发现腹腔内有液体,穿刺抽出血液。急行剖腹探查术,发现左侧子宫动脉结扎线滑脱,予以缝扎止血。【例2】苏某,54岁。因巨大卵巢粘液性囊腺瘤手术,
Secondary gynecological pelvic surgery after bleeding is a rare serious complication, we must promptly find and actively rescue, otherwise it can endanger the lives of patients. Our hospital from May 1980 to May 1992, a total of 4952 cases of gynecologic surgery, 4 cases of more serious postoperative secondary hemorrhage, the incidence rate of 0.08%, were found in time, reoperation, the patient recovered well. 1 case introduction [Example 1] Wang, 48 years old. Transvaginal hysterectomy for uterine fibroids, blood pressure decreased more than 5 hours after surgery, the lowest 10.7 / 8kPa, pulse 105 beats / min, after the general treatment is invalid. B-ultrasound found intraperitoneal fluid, puncture out of the blood. Urgent exploration laparotomy and found that the left uterine artery ligation line slippage, to suture to stop bleeding. [Example 2] Sumou, 54 years old. Due to huge ovarian mucinous cystadenoma surgery,