论文部分内容阅读
目的探讨产后子宫内翻的识别和临床处理,减少产妇并发症的发生。方法分析福建省妇幼保健院2005—2015年收治的子宫内翻病例的一般情况、临床表现、分型、处理方法和预后。结果 10年共收治4例;患者26~31岁;初产3例,经产1例;4例产后均出现剧烈腹痛伴产后出血,均为急性子宫内翻Ⅲ度;2例行硬膜外麻醉下手法复位,另2例盐酸哌替啶注射后手法复位,4例均复位成功;3例痊愈出院,1例并发希汉综合征。结论早诊断、正确处理第三产程、及时手法复位、积极抗休克,可减少子宫内翻严重并发症。
Objective To explore the identification and clinical treatment of postpartum uterine varus to reduce the occurrence of maternal complications. Methods The general situation, clinical manifestation, classification, treatment and prognosis of cases of uterine varus in Fujian MCH hospital from 2005 to 2015 were analyzed. Results 10 cases were treated in 4 cases; patients 26 to 31 years old; 3 cases of primiparous, the production of 1 case; 4 cases of postpartum severe abdominal pain with postpartum hemorrhage were acute Ⅲ degree of intrauterine variceal; 2 cases of epidural Under anesthesia, the procedure was reset, and the other two cases were treated by metronidazole hydrochloride injection. All the patients were successfully reset in 4 cases. Three cases were cured and discharged, and 1 case was complicated by schizophrenia syndrome. Conclusion Early diagnosis, the correct treatment of the third stage of labor, prompt reduction, active anti-shock, can reduce the serious complications of uterine inversion.