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目的探讨剖宫产术后腹壁血肿的形成原因及防治对策。方法对内江市10所医院2004～2010年16例剖宫产术后腹壁血肿病例的临床资料进行回顾性分析。结果 15例再次手术治疗,1例保守治疗。其中12例有发生出血的高危因素(妊娠合并症和并发症),3例死亡,分别死于失血性休克、继发感染(败血症)、风湿性心脏病。结论避免粗暴操作,关腹前彻底止血,腹壁血肿是可以预防的。
Objective To investigate the causes of formation and prevention and treatment of abdominal hematoma after cesarean section. Methods The clinical data of 16 cases of abdominal hematoma after cesarean section in 10 hospitals in Neijiang from 2004 to 2010 were analyzed retrospectively. Results 15 cases of re-operation, 1 case of conservative treatment. Of these, 12 were at high risk for bleeding (pregnancy complications and complications) and 3 died of hemorrhagic shock, secondary infection (sepsis) and rheumatic heart disease. Conclusions Avoid rough operation, completely stop bleeding before abdominal surgery, abdominal hematoma can be prevented.