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目的分析剖宫产术中大出血的因素及其疗效,以减少剖宫产术中大出血的发生率。方法对本院自2006年12月~2012年12月收治的191例剖宫产术中大出血的临床资料进行回顾性分析。结果 96例子宫收缩乏力大出血;61例前置胎盘大出血;34例胎盘植入大出血;剖宫产术中大出血患者经采用常规止血、宫腔填塞纱条止血及B-Lynch缝合止血治疗后,平均止血成功率95.8%,其差异有统计学意义(P<0.05)。结论剖宫产术中大出血主要因素是子宫收缩乏力和前置胎盘、胎盘植入等胎盘因素;采用B-Lynch缝合治疗较常规和宫腔填塞纱条等止血法效果更佳。
Objective To analyze the factors of bleeding in cesarean section and its curative effect so as to reduce the incidence of major bleeding in cesarean section. Methods The clinical data of 191 cases of major bleeding in cesarean section from December 2006 to December 2012 in our hospital were analyzed retrospectively. Results 96 cases of uterine atony bleeding; 61 cases of placenta previa bleeding; 34 cases of placenta accreta bleeding; cesarean section bleeding in patients with conventional hemostasis, uterine packing gauze hemostasis and B-Lynch suture hemostasis, the average Hemostatic success rate was 95.8%, the difference was statistically significant (P <0.05). Conclusion The main factors of hemorrhage in cesarean section are uterine atony, placenta accreta placenta previa and placenta accreta placenta. B-Lynch sutures are more effective than the conventional method in the treatment of hemostasis.