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本文报道17例产道血肿,经相对危险度分析,血小板减少、贫血、妊高征,滞产,肥胖均为诱发因素。产后数小时肛门胀痛是产道血肿的典型症状,阴道上型血肿延及阔韧带,可引起同侧下腹痛。新鲜血肿应立即开放血肿腔、排出血液、止血缝合。纵切口便于暴露创底、寻找血点,止血不彻底时可填塞阴道,压迫止血。血肿位置高及肥胖产妇可硬膜外麻醉,术后用大量抗菌素预防感染。陈旧血肿因血液已渗入组织间,无法排出,只能预防感染,待其自然吸收。
This article reports 17 cases of hematoma of the birth canal, the relative risk analysis, thrombocytopenia, anemia, pregnancy-induced hypertension, birth defects, obesity are induced factors. Anal pain is a typical symptom of the hematoma of the delivery canal after a few hours of childbirth. Vaginal hematoma extends to the broad ligament and can cause ipsilateral lower abdominal pain. Fresh hematoma should immediately open the hematoma cavity, discharge the blood, stop bleeding suture. Longitudinal incision easy to expose the bottom, looking for blood points, hemostasis can not be filled when the vagina, oppression to stop bleeding. High hematoma and obese mothers can be epidural anesthesia, with a large number of antibiotics to prevent infection after surgery. Old hematoma due to blood has infiltrated into the tissue, can not be discharged, only to prevent infection until its natural absorption.