产后出血是产科严重的、也是可预防的并发症。随着产科医疗质量的不断提高,产后出血的发病率逐步下降。但是,在子宫过度膨胀(多胎妊娠、羊水过多、巨大儿)、产程延长、胎盘早剥、前置胎盘,重度妊娠中毒症以及凝血功能障碍等高危妊娠情况下,产后出血仍然常见,甚至难以控制而造成死亡。当采用长时间按摩及压迫子宫,反复应用宫缩剂及促凝物质、压迫腹主动脉等保守措施无效时,在排除胎盘组织残留、宫颈及阴道撕裂、凝血功能障碍等因素后,不得不考虑手术止血——切除子宫。是否施行此项手术,如遇经产妇一般尚易作出决定;但用以处理初产妇产后出血,尤其在死产或新生儿垂危的情况下则非常棘手。以往,我们采用髂内动脉结扎术解决止血与保留子宫的矛盾。最近,改用双侧子宫动脉结扎术,取得了较好的效果,故报道于下,目的在于介绍及探讨这一简易有效、切实可行的抢救措施。病例简介郦×,29岁,第1胎,因妊娠41周伴不规则宫缩于1979年2月28日住院待产。3月5日临产,诊断为原发性宫缩乏力及相对性头盆不称,在连续硬膜外麻醉下行子宫下段剖腹产术。取出一男婴,苍白窒息,经抢救后复苏。常规注射催产素10单位入宫壁。胎盘取出后,宫缩不良,用催产素20 Postpartum hemorrhage is a serious obstetric and preventable complication. With the continuous improvement of the quality of obstetric care, the incidence of postpartum hemorrhage gradually decreased. However, postpartum haemorrhage remains common or even difficult in high-risk pregnancies such as excessive uterine swelling (multiple pregnancies, polyhydramnios, macrosomia), prolonged labor, premature placental abruption, placenta previa, severe gestosis and coagulopathy Control and cause death. When using a long massage and oppression of the uterus, repeated use of uterotonics and procoagulant substances, compression of the abdominal aortic and other conservative measures ineffective, excluding placental tissue residue, cervical and vaginal tears, coagulation disorders and other factors, had to Consider surgery to stop bleeding - removal of the uterus. It is still too easy to make a decision about whether to perform the operation in the case of maternal death; however, it is particularly troublesome to deal with postpartum hemorrhage in the first trimester, especially in the stillbirth or newborn. In the past, we used internal iliac artery ligation to solve the contradiction between bleeding and retention of the uterus. Recently, the switch to bilateral uterine artery ligation and achieved good results, it is reported below, the purpose is to introduce and explore this simple and effective, practical rescue measures. Case Profile 郦 ×, 29 years old, the first child, due to 41 weeks of pregnancy with irregular contractions in February 28, 1979 in hospital. March 5 abortion, diagnosis of primary uterine inertia and relative lack of head basin, continuous uterine epidural anesthesia in the lower caesarean section. Remove a baby boy, pale asphyxia, after resuscitation. Conventional injection of oxytocin 10 units into the uterine wall. After removal of the placenta, uterine contractions, with oxytocin 20