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目的:探讨分娩时产道损伤引发血肿的原因及预防措施。方法:对1998年1月～2008年12月分娩产妇3577例中发生的22例产道血肿进行回顾性分析。结果:17例为初产妇(77%),5例为经产妇(23%);自然分娩17例,产钳助娩5例;会阴切口处血肿6例,外阴血肿4例,阴道血肿12例。22例产道出血患者均给予血肿切开清除,愈合良好21例,1例因合并感染伤口裂开,经局部换药、理疗等处理2周后痊愈。结论:加强围生期保健,积极防治妊高征、妊娠合并血液病等疾病,做到早期发现,及时治疗。
Objective: To investigate the causes and preventive measures of hematoma caused by birth canal injury during labor. Methods: A retrospective analysis of 22 cases of birth hematoma occurred in 3577 cases of maternal delivery from January 1998 to December 2008. Results: 17 cases were primipara (77%) and 5 cases were maternal (23%). Natural delivery was performed in 17 cases, forceps assisted delivery in 5 cases, perineal incision in 6 cases, vulvar hematoma in 4 cases and vaginal hematoma in 12 cases. Twenty-two cases of hemorrhage were given open incision hematoma, healing well in 21 cases, 1 case of wound infection due to infection, local dressing, physiotherapy and other treatment after 2 weeks cured. Conclusion: To strengthen the perinatal care, prevention and treatment of pregnancy-induced hypertension syndrome, pregnancy and other blood diseases, so that early detection and timely treatment.