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[目的]研究产科子宫切除术的相关因素,探讨降低产科子宫切除术及并发症发生。[方法]对达县人民医院近7年产科行子宫切除的孕产妇资料作回顾性分析。[结果]产科子宫切除占分娩总人数的0.33%,其发生率的高低与产前保健预防、围产期的处理、剖宫产率密切相关;胎盘因素、宫缩乏力、子宫破裂引起的失血性休克和弥漫性血管内凝血(DIC)是产科急诊子宫切除的主要原因。[结论]加强产前保健和计划生育,提高基层医院产科诊疗水平,早期发现和处理高危妊娠以及正确掌握剖宫产指针,可以有效地降低产科子宫切除术发生率及并发症的发生。
[Objective] To study the related factors of obstetric hysterectomy and to discuss the ways to reduce the incidence of obstetric hysterectomy and complications. [Methods] A retrospective analysis was made on the data of maternal hysterectomy in Daxian People’s Hospital in the past 7 years. [Results] Obstetrical hysterectomy accounted for 0.33% of the total number of deliveries. The incidence of obstetric hysterectomy was closely related to prenatal care, perinatal treatment and cesarean section rate. Placenta factors, uterine atony, blood loss caused by uterine rupture Sex shock and diffuse intravascular coagulation (DIC) are the major causes of obstetric emergency hysterectomy. [Conclusion] Strengthening prenatal care and family planning, raising the level of obstetric diagnosis and treatment in primary hospitals, early detection and treatment of high-risk pregnancies and the correct understanding of cesarean section guidelines can effectively reduce the incidence of obstetric hysterectomy and complications.