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目的:探讨紧急子宫切除术的临床适应证、特点及应引起注意的问题。方法:对我院产科近10年间所做的产科子宫切除术作了回顾性分析。结果:紧急子宫切除术患者多在生育年龄,大多数患者病情危重,产科子宫切除术发生率为0.04%,其中,剖宫产子宫切除占84.2%,胎盘因素是产科急症子宫切除术的主要指征,其它因素依次为宫缩乏力、DIC、子宫内翻及子宫破裂。19例患者,其中15例处于失血性休克状态,而且难以控制的子宫大出血仍持续存在,需紧急手术挽救生命。结论:在抢救危重症产科大出血中有重要意义的应用价值,降低其发生率。
Objective: To investigate the clinical indications, characteristics and issues that should be paid attention to in emergency hysterectomy. Methods: Obstetrics and gynecology hysterectomy done in our hospital during the past 10 years made a retrospective analysis. Results: The majority of emergency hysterectomy patients at childbearing age, most of the patients in critical condition, the incidence of obstetric hysterectomy was 0.04%, of which cesarean section hysterectomy accounted for 84.2%, placenta factor is the main indication of obstetric emergency hysterectomy Signs, other factors followed by uterine atony, DIC, uterine inversion and uterine rupture. 19 patients, of which 15 were in hemorrhagic shock state, and uncontrollable uterine bleeding still persists, requiring emergency surgery to save lives. Conclusion: It is of great significance to reduce the incidence of critically ill obstetric hemorrhage.