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目的比较水囊压迫与纱布填塞在处理剖宫产术中大出血的效果。方法2002年8月至2006年8月深圳市宝安区计划生育专科医院及东莞市中堂人民医院对剖宫产术中大出血患者60例,常规处理方法无效后,分为2组,宫腔放置压迫水囊(水囊组)38例,宫腔填塞纱布(纱布组)22例,比较两种止血方法的疗效。结果两组均能有效控制出血,但水囊组手术时间[(128±27)s]、宫腔填塞物留置时间[(18.0±5.5)h]均短于纱布组[(202±37)s、(22.0±2.5)h],两组比较差异有统计学意义(t分别为-8.836、-3.188,P<0.01)。结论压迫水囊治疗剖宫产术中大出血效果佳,操作简便,留置时间短,可在基层医院推广。
Objective To compare the effect of balloon compression and gauze packing on the treatment of major bleeding in cesarean section. Methods From August 2002 to August 2006, Baoan District Family Planning Specialized Hospital and Dongguan Zhongtang People’s Hospital of Shenzhen City, 60 patients with massive bleeding in cesarean section were randomly divided into 2 groups. The uterine cavity was placed under oppression 38 cases of water sac (water bag group), 22 cases of gauze packing of gauze (gauze group). The curative effect of two hemostatic methods was compared. Results Bleeding was effectively controlled in both groups. However, the operation time in the balloon group (128 ± 27 s) and the retention time in the uterine cavity packing (18.0 ± 5.5) h were shorter than that in the gauze group (202 ± 37 s) , (22.0 ± 2.5) h] respectively. The difference between the two groups was statistically significant (t = -8.836, -3.188, P <0.01). Conclusion The oppression of the water sac in cesarean section in the treatment of bleeding is good, easy to operate, retention time is short, can be promoted in primary hospitals.