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目的探讨剖宫产术中出血的原因分析与治疗方法。方法选取本院妇产科2010年7月至2011年7月剖宫产术中出血患者102例,对其出血原因与治疗方法进行回顾性分析。结果本组病例的剖宫产术中出血原因以子宫收缩乏力、胎盘因素(胎盘粘连、前置胎盘、胎盘植入)为主,分别占46.1%和34.3%。经过术中采取有效的止血措施,本组病例的剖宫产术中出血症状得到有效控制,平均出血量为(1050±100)ml。结论在剖宫产手术操作中,必须对于患者的术中出血原因进行准确的分析,并且制定合理的治疗方案,从而进一步降低产妇的术中死亡率。
Objective To investigate the cause of bleeding in cesarean section and its treatment. Methods A total of 102 cases of bleeding during cesarean section were selected from July 2010 to July 2011 in our hospital. The causes and treatment of bleeding were retrospectively analyzed. Results The causes of bleeding during cesarean section in this group were mainly uterine atony and placenta (placenta accreta, placenta previa, placenta accreta), accounting for 46.1% and 34.3% respectively. After surgery to take effective measures to stop bleeding, the group of cases of cesarean section bleeding was effectively controlled, the average amount of bleeding (1050 ± 100) ml. Conclusion In cesarean section operation, the cause of intraoperative bleeding in patients must be analyzed accurately and a reasonable treatment plan should be drawn to further reduce the maternal mortality rate.