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自1987年以来,我们对8例剖宫产产后出血者采取缝扎子宫动脉上行支的方法,止血效果满意,产后随访月经正常。 资料分析:8例剖宫产产后出血者中,6例系子宫收缩乏力所致,另2例分别为前置胎盘、胎盘早剥伴死胎。本组8例均系剖宫产中大出血,应用宫缩剂等保守治疗无效者,立即将子宫推向一侧,取子宫切口下方相当于子宫颈内口平面;用手指触摸到子宫动脉搏动后,用大圆针穿7号丝线紧靠子宫边缘、双道8字形缝扎。以同法处理对侧。一般在双侧上行支缝扎后子宫收缩好转,出血停止;有1例子宫收缩无好转,但出血停止。本组8例术后随访2年。产后授乳7例,1年内月经相继恢复正常,回奶1例于产后2个月月经开始规律。
Since 1987, 8 cases of cesarean section postpartum hemorrhage have been sutured uterine artery upstream branch method, hemostatic effect is satisfactory, postpartum follow-up normal menstruation. Data Analysis: 8 cases of cesarean section postpartum hemorrhage, 6 cases of uterine atony due to fatigue, the other two cases were placenta previa, placental abruption with stillbirth. The group of 8 cases were bleeding in the cesarean section, the application of tocolytic agents and other conservative treatment ineffective immediately to the side of the uterus, uterine incision and take the bottom of the cervix is equivalent to the plane of the mouth; with your fingers touch the uterine artery pulse , With a large round needle on the 7th close to the edge of the uterus, double 8-shaped suture. The same law to deal with the contralateral. Uterine contractions generally improved after bilateral suture ligation, bleeding stopped; 1 case of uterine contractions did not improve, but bleeding stopped. The group of 8 patients were followed up for 2 years. Postpartum lactation in 7 cases, one year after menstruation have returned to normal, one case of milk back to the beginning of menstruation 2 months after birth.