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目的:探讨前置胎盘剖宫产术中止血带阻断子宫血流减少产后出血的临床应用。方法:以2008年1月～2011年5月前置胎盘剖宫产术中出血55例为研究组,术中采取止血带阻断子宫血管。另随机选取2008年1月以前收治的前置胎盘剖宫产出血40例为对照组,采取传统的止血方法止血。比较两组的手术时间、术中出血量、输血量及子宫切除率。结果:研究组经止血带阻断子宫血流均有效,手术时间、术中出血量、输血量与对照组比较,差异均有统计学意义(P<0.05)。结论:前置胎盘剖宫产术中应用止血带套扎子宫血管减少产后出血迅速、简便、效果确切。
Objective: To investigate the clinical application of the tourniquet in the placenta previa for blocking the uterine blood flow and reducing the postpartum hemorrhage. Methods: From January 2008 to May 2011, 55 cases of placenta previa bleeding in cesarean section were studied. The tourniquet was used to block the uterine vessels. Another randomly selected pre-January 2008 treated placenta previa 40 cases of cesarean section as a control group, to take the traditional method of hemostasis to stop bleeding. The operation time, intraoperative blood loss, blood transfusion and hysterectomy rate were compared between the two groups. Results: The study group was effective in blocking uterine blood flow through the tourniquet. There was significant difference in operation time, intraoperative blood loss and blood transfusion between the control group and the control group (P <0.05). Conclusion: The application of tourniquet tourniquet in cesarean section of pre-placenta leads to the reduction of postpartum hemorrhage quickly and easily with the exact result.