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目的探讨剖宫产术中难治性大出血的临床治疗。方法选取吉林市北华大学附属医院2013年7月-2015年6月收治的46例剖宫产术中难治性大出血患者为研究对象,采用了基础的子宫按摩治疗、缩宫药物治疗、宫腔纱布填充法及结扎部分子宫动脉等方法进行治疗。针对以上4种措施都无效的患者,采用B-Lynch缝合术的治疗手段。从而确保产妇的生命安全,并保全她们的生育能力。结果 46例剖宫产术中难治性大出血患者当中,有41例患者通过前4种手段综合治疗后,得到控制。5例出血顽固的患者采用B-Lynch缝合术治疗后出血得到控制。治疗的总体成功率是100.00%,患者不必切除子宫。结论在剖宫产术中难治性大出血的临床治疗当中,要首先采用基本方法对患者进行治疗。针对出血顽固且治疗无效的患者,采用B-Lynch缝合术进行治疗。这种综合运用多种治疗措施的应对方式值得在临床广泛推广应用。
Objective To investigate the clinical treatment of refractory bleeding in cesarean section. Methods Forty-six patients with intractable hemorrhage in cesarean section admitted from July 2013 to June 2015 in Affiliated Hospital of Beihua University in Jilin City were selected as the research object, and the basic uterine massage therapy, Cavity gauze filling method and ligation of part of the uterine artery and other methods of treatment. For the above four kinds of measures are invalid in patients with B-Lynch suture treatment. Thus ensuring the safety of women’s lives and preserving their fertility. Results Of the 46 patients with intractable bleeding in cesarean section, 41 patients were controlled by the first four kinds of comprehensive treatment. Bleeding was controlled in 5 patients with stubborn bleeding using B-Lynch suture. The overall success rate of treatment was 100.00%, patients do not have to remove the uterus. Conclusion In the clinical treatment of intractable bleeding in cesarean section, we should first use the basic method to treat the patients. B-Lynch suture was used for patients with stubborn bleeding and ineffective treatment. This comprehensive use of a variety of treatment measures worthy of wide application in clinical practice.