1992年以来,我们诊治宫颈糜烂所致产后大出血患者21例,现报告如下。 临床资料:本组出血量为400～600ml者9例,～800ml者8例,>800ml者4例。产后2～16小时确诊,均排除宫缩乏力、胎盘滞留、软产道裂伤及凝血机制障碍。充分暴露宫颈后,见糜烂面呈弥漫性、局部活动性出血,甚者血如泉涌。对前者即用纱布条经阴道压迫糜烂面;对后者用2—0肠线缝合开放血管,同时静滴6—氨基己酸、止血敏等,并给予抗生素,有休克者行抗休克治疗。经治疗4～6小时均治愈。 讨论:孕妇宫颈糜烂者常见。由于妊娠期宫颈的生理变化,宫颈糜烂局部炎症反应加重,表现为明显充血、水肿,特别是产前阴道检查次数多者更易发 Since 1992, we diagnosed 21 cases of postpartum hemorrhage caused by cervical erosion, are as follows. Clinical data: The group of bleeding in 400 ~ 600ml in 9 cases, ~ 800ml in 8 cases,> 800ml in 4 cases. Postpartum 2 to 16 hours of diagnosis, were excluded uterine atony, placental retention, soft birth canal laceration and coagulation disorders. Full exposure of the cervix, see the erosion surface was diffuse, local active bleeding, worse than the blood flow. The former is gauze with vaginal compression erosion surface; the latter with 2-0 gut suture open blood vessels, while intravenous infusion of 6-aminocaproic acid, bleeding and so on, and given antibiotics, shock were anti-shock treatment. After treatment for 4 to 6 hours are cured. Discussion: Pregnant women with cervical erosion are common. Due to physiological changes of cervical during pregnancy, cervical erosion increased local inflammation, manifested as congestion, edema, especially those who prenatal vaginal examination more prone to hair