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自产后24小时后到42天的产褥期内,出现多量阴道流血,需手术止血、输血、或再次住院治疗者,称晚期产后流血。引起晚期产后流血的主要原因是胎盘部分残留,或胎盘附着面的复旧不全。近10余年来随着刮宫产率上升,继发于子宫下段剖宫产横切口后,因切口愈合不良、子宫动脉分支坏死开放,所引起的大量流血已引起注意;但继发于经阴道分娩会阴切开缝合术后,因切口愈合不良,阴道动脉分支开放而引起的大量流血尚未引起足够重视。本文2例均未能作出及时诊断,处理也有其特异性,现介绍如下:例1.29岁,第二胎,足月妊娠。于1980年11月26日因中度妊娠高血压综合征,血压160/100mmHg,在外院行左斜会阴切开及低产钳助产,总
24 hours after giving birth to 42 days of puerperal period, there was a large amount of vaginal bleeding, requiring surgery to stop bleeding, transfusion, or re-hospitalization, said late postpartum bleeding. Caused by late postpartum bleeding is the main reason for the residual part of the placenta, or placental attachment of the old complex incomplete. Over the past 10 years, with the rise of curettage, secondary to the lower uterine segment of cesarean section after transverse incision due to incision healing, necrosis of the uterine artery branch open, caused by a large number of bleeding has attracted attention; but secondary to vaginal delivery After perineal incision suture, due to poor incision healing, vaginal artery opening caused by a large number of bleeding has not yet caused enough attention. This article 2 cases failed to make timely diagnosis and treatment also has its specificity, are as follows: 1.29 years old, second child, full-term pregnancy. On November 26, 1980 due to moderate pregnancy-induced hypertension, blood pressure 160 / 100mmHg, left lateral episiotomy and midwifery episiotomy midwifery midwifery, total