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目的探讨产后出血的临床治疗方法。方法选取2011年10月至2013年5月期间收治的30例产后出血的产妇临床资料,进行回顾性分析,总结产后出血的治疗方法。结果除了采取基本的治疗手段如按摩子宫、运用宫缩剂加强子宫收缩以外,1例采取子宫动脉结扎术,没有效果;6例采取子宫动脉栓塞结合髂内动脉结扎术,成功;7例采取子宫切除术,成功;8例采取宫腔填塞术,其中3例失败;8例采取改良子宫压迫缝合术(BLynch),成功。结论产后出血是产科严重的并发症,产科医生不但应掌握产后出血的基本治疗手段,还应综合子宫动脉栓塞结合髂内动脉结扎术、宫腔填塞术、子宫切除术、改良子宫压迫缝合术等多种治疗手段。
Objective To investigate the clinical treatment of postpartum hemorrhage. Methods From October 2011 to May 2013, 30 cases of postpartum hemorrhage admitted to the clinical data were analyzed retrospectively, summarizing the treatment of postpartum hemorrhage. The results in addition to taking basic treatment such as massage the uterus, the use of uterine contractions to enhance uterine contractions, 1 case of uterine artery ligation, no effect; 6 cases of uterine artery embolization combined with internal iliac artery ligation, success; 7 cases to take the uterus Resection and success were performed in 8 cases. Totally 8 cases underwent intrauterine packing, of which 3 cases failed. Eight cases underwent successful uterine compression suture (BLynch). Conclusions Postpartum hemorrhage is a serious complication of obstetrics. Obstetricians should not only master the basic treatment of postpartum hemorrhage, but also should combine uterine artery embolization with internal iliac artery ligation, intrauterine packing, hysterectomy, modified uterine compression suture A variety of treatment.