论文部分内容阅读
目的:分析剖宫产术后晚期产后出血原因及治疗方法。方法:选取2012年1月-2016年1月我院收治的23例剖宫产术后晚期产后出血患者开展回顾性分析,统计出血原因,并采用缩宫素、抗生素进行治疗,根据患者不同的情况,采用有针对性的治疗方法。结果:本组病例经B超检查、临床观察、清宫术刮出物的病理分析等显示剖宫产术后晚期产后出血原因为主要包括以下5种:(1)子宫切口感染;(2)子宫复旧不良;(3)子宫内残留蜕膜;(4)胎膜与子宫内膜炎;(5)产妇的精神因素。23例患者经过以上治疗后,有20例患者出血停止。1例患者经保守治疗无效后采用子宫全切术。1例患者在B超引导下行宫内残留物诊刮术。1例患者为子宫内膜炎症,予以抗菌治疗,痊愈出院。结论:明确晚期产后出血的主要病因,术后合理预防性用药,降低剖宫产术后晚期产后出血发生率。
Objective: To analyze the causes and treatment of late postpartum hemorrhage after cesarean section. Methods: Twenty-three patients with postpartum hemorrhage after cesarean section were retrospectively analyzed in our hospital from January 2012 to January 2016. The causes of bleeding were calculated and treated with oxytocin and antibiotics. According to the different patients Situation, the use of targeted treatment. Results: This group of patients by B-ultrasound, clinical observation, hysteroscopic scraping material pathological analysis showed that postpartum hemorrhage after cesarean section causes mainly include the following five kinds: (1) uterine incision infection; (2) the uterus (3) decidual decidua in the uterus; (4) fetal membranes and endometritis; (5) maternal psychiatric factors. After the above treatment in 23 patients, bleeding stopped in 20 patients. One patient underwent hysterectomy after conservative treatment. One patient underwent B-guided intrauterine residue curettage. One patient was endometrial inflammation, treated with antimicrobial therapy and discharged. Conclusion: The main cause of late postpartum hemorrhage, postoperative rational prophylaxis, reduce the incidence of late postpartum hemorrhage after cesarean section.