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目的寻求一种简便、快速的止血方法,减少剖宫产术中出血,为大出血救治赢得时间。方法我院2004年1月~2012年12月剖宫产术中发生大出血病例126例,应用橡皮管止血带,阻断子宫血供后,再行常规止血处理72例,为研究组。只进行常规止血处理54例,为对照组。两组止血效果和出血量进行比较。结果两组病例均抢救成功,研究组止血迅速,出血量少于对照组,止血效果优于对照组。结论橡皮管止血带应用于剖宫产术中大出血的救治,止血迅速,操作简单、无副作用,能为抢救赢得时间,可减少术中出血量,降低产后出血的死亡率,值得推广,特别是边远基层医疗机构。
Objective To seek a simple and rapid hemostasis method to reduce the bleeding in cesarean section and to gain the treatment for bleeding. Methods One hundred and sixty-six patients with major bleeding in cesarean section from January 2004 to December 2012 in our hospital were treated with rubber tube tourniquets to block the blood supply of the uterus, followed by conventional hemostasis in 72 patients. Only conventional hemostasis in 54 cases, as the control group. Hemostatic effect and bleeding volume were compared between the two groups. Results The two groups of patients were rescued successfully, the study group bleeding quickly, bleeding less than the control group, bleeding effect is better than the control group. Conclusion The application of rubber tube tourniquet in cesarean section in the treatment of bleeding, rapid hemostasis, simple operation, no side effects, can save time for the rescue, reduce intraoperative bleeding and reduce postpartum hemorrhage mortality, it is worth promoting Remote primary health care institutions.