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近年来剖宫产术在产科的应用日益广泛,基层医疗单位也正在逐步开展此项手术。因此,对于如何改进操作技巧,避免并发症,尤其需要进行更多的探讨。本文就此问题报告两例。例1:任××,26岁,第一胎足月妊娠。因臀位、宫缩乏力、滞产,行子宫下段横切口剖宫产术。胎儿娩出后,见子宫切口有撕裂,不断有血液自宫腔逸出于切口之外,迅即以肠线分两层连续缝合子宫切口。但又因术后仍有活动性阴道出血,行阴道检查。结果发现切口部位之子宫腔已被缝合而闭锁。故只得拆除腹壁缝线,重新开腹探查。最初见所缝合之子宫切口,外观仍属正常表现,但拆开原缝线后,发现
In recent years, the application of cesarean section in obstetrics is increasingly widespread, and primary medical units are also gradually carrying out the operation. Therefore, for how to improve the operating skills, to avoid complications, in particular, require more discussion. This article reports two cases on this issue. Example 1: Ren × ×, 26 years old, first-born full-term pregnancy. Due to breech, uterine inertia, prolonged labor, line uterine incision cesarean section. After the fetus was delivered, see the uterine incision tear, there are continuously escaped from the uterine cavity out of the incision, immediately to the gut two continuous suture of uterine incision. But because of postoperative vaginal bleeding is still active vaginal examination. The results showed that the incision site of the uterine cavity has been sutured and locked. So I had to remove the suture of the abdominal wall, re-open exploration. The initial see the suture of the uterine incision, the appearance is still normal, but disassemble the original suture, it was found