论文部分内容阅读
目的探讨子宫动脉结扎与宫腔填纱同时应用在治疗剖宫产术中大出血的应用价值。方法对10例剖宫产术中大出血患者(出血量在1000~3700ml之间),在施行双侧子宫动脉结扎之后,子宫对宫缩剂反应不良、子宫收缩欠佳或胎盘剥离而仍有较明显的活动性出血患者,即行宫腔大纱垫填塞术。结果宫腔所填纱垫在术后24~46h于静脉滴注催产素的情况下取出,全部所取出纱垫均无特殊异味,取纱时宫腔出血量在10~30ml之间,10例患者均未造成子宫脏器的丢失。结论子宫动脉结扎和宫腔填纱均为治疗子宫大出血的有效方法,两者联合应用,疗效明显好于单一方法,并有可能避免因术中大出血而行子宫切除术。
Objective To explore the application of uterine artery ligation and uterine filling in the treatment of hemorrhage in cesarean section. Methods 10 cases of bleeding in cesarean section patients (bleeding in between 1000 ~ 3700ml), after the implementation of bilateral uterine artery ligation, the uterus contractions of adverse reactions, poor uterine contractions or placental separation and still more Obvious active bleeding in patients, that is, uterine gauze padding. Results The uterine filling gauze pad was removed 24 to 46 hours after operation with intravenous infusion of oxytocin. All the gauze pads removed showed no special smell, and the amount of uterine bleeding when taking the gauze was between 10 and 30 ml. Ten cases Patients did not cause the loss of uterine organs. Conclusions Both uterine artery ligation and uterine filling are effective methods for the treatment of massive uterine bleeding. The combination of the two methods is obviously better than the single method and may avoid the hysterectomy due to intraoperative bleeding.