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目的:观察宫腔纱条填塞用于治疗剖宫产术中大出血的疗效。方法:回顾性分析新疆伊宁市人民医院产科2011年1月至2012年12月剖宫产术中采用宫腔纱条填塞治疗43例大出血患者的临床资料,并与2007~2008年和2009~2010年两个同时期的相关数据进行比较和统计学分析。结果:43例治疗效果满意,无一例切除子宫,无产褥期出血和感染,无产妇死亡病例,产后42 d随访子宫复旧良好。结论:宫腔纱条填塞压迫止血法治疗剖宫产术中大出血操作直接、简便,止血快速、有效,既减少患者出血及因出血过多而造成的全身伤害,又尽最大可能保留了生殖器官。术中纱条有序填塞、不留死腔,术后及时应用宫缩剂同时联合应用抗生素可取得良好效果。
Objective: To observe the curative effect of uterine gauze packing for treatment of massive bleeding in cesarean section. Methods: A retrospective analysis of the clinical data of 43 patients with massive hemorrhage treated with uterine gauze packing in the cesarean section from January 2011 to December 2012 in Yining People’s Hospital of Xinjiang Uygur Autonomous Region was retrospectively analyzed. The clinical data were compared with those of 2007 ~ 2008 and 2009 ~ 2010 two contemporaneous data for comparison and statistical analysis. Results: The treatment effect was satisfactory in 43 cases. None of the cases had uterine resection, no bleeding and infection during puerperium, and no maternal death. The uterine involution was good after 42 days of follow-up. Conclusion: The treatment of massive hemorrhage in cesarean section by uterine gauze packing and compression hemostasis is direct and simple, and the hemostasis is rapid and effective. It not only reduces the patients’ bleeding and systemic injuries caused by excessive bleeding, but also reserves the reproductive organs . Intraoperative packing of gauze in an orderly manner, leaving no dead space, timely application of uterine contractility combined with antibiotics can achieve good results.