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目的回顾性分析B-Lynch子宫缝合术、宫腔纱条填塞术和宫腔水囊压迫术在临床的应用情况。方法子宫收缩乏力58例、凝血机制障碍2例采用宫腔水囊压迫法;剖宫产产后出血64例行B-Lynch子宫缝合术;前置胎盘17例、前置胎盘粘连2例行宫腔纱条填塞术。结果宫腔水囊压迫法治疗60例、B-Lynch子宫缝合术治疗64例均成功止血。宫腔填塞纱条术有2例止血效果不理想行子宫切除术。结论选用合理的止血方法,可降低产后出血的子宫切除率和孕产妇死亡率。
Objective To retrospectively analyze the clinical application of B-Lynch uterine suture, intrauterine sliver packing and intrauterine compression. Methods 58 cases of uterine atony and 2 cases of clotting mechanism obstacle were treated with intrauterine compression. Cesarean section postpartum hemorrhage was performed by 64 cases of B-Lynch uterine suture, 17 cases of placenta previa and 2 cases of placenta accreta. Article stuffing. Results The uterine cavity balloon compression method for the treatment of 60 cases, B-Lynch uterine suture treatment of 64 cases were successful hemostasis. There were 2 cases of intrauterine plug gauze surgery is not ideal hemostasis hysterectomy. Conclusion The reasonable method of hemostasis can reduce the rate of hysterectomy and maternal mortality in postpartum hemorrhage.