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目的探讨剖宫产术后晚期产后出血的发生时间、发病原因及发病特点,以便采取积极的预防措施。方法对2001年1月至2011年1月所发生的剖宫产术后晚期产后出血病例24例进行回顾性研究和分析。结果 24例晚期产后出血的发生时间多在产后2～3周,部分病例超过4周;发病原因主要为切口感染、胎盘附着面复旧不全、胎盘子宫内膜炎、胎盘、胎膜及蜕膜残留、子宫切口裂开。结论剖宫产术后晚期产后出血并不完全局限在产褥期,严格掌握剖宫产手术指征,早诊断早治疗,剖宫产术后晚期产后出血是可防可治的。
Objective To investigate the incidence of late postpartum hemorrhage after cesarean section, the causes and the incidence of postpartum hemorrhage in order to take active preventive measures. Methods From January 2001 to January 2011 occurred in 24 cases of late postpartum hemorrhage after cesarean section were retrospectively studied and analyzed. Results The incidence of late postpartum hemorrhage in 24 cases was more than 2 to 3 weeks after delivery, and some cases were over 4 weeks. The main causes of infection were incisional infection, incomplete placental attachment, placental endometritis, placenta, fetal membranes and decidua , Uterine incision split. Conclusion The postpartum hemorrhage after cesarean section is not limited to the puerperium. The indications of caesarean section operation should be strictly grasped. The early diagnosis and early treatment of postpartum hemorrhage after cesarean section is preventable and curable.