摘要
目的探讨产后出血导致子宫切除的手术时机。方法回顾性分析1994年1月至2008年12月15年间北京妇产医院产科49例产科急症子宫切除患者的病例资料。结果 49例产后出血切除子宫病例中,胎盘因素(48.97%)占首位,其次为子宫收缩乏力(28.57%)。出血量在1700～8000ml,平均(4176±1691)ml。49例患者均输血治疗,输血量400～4800ml。49例患者皆存活,围生儿死亡2例(3.64%)。结论对于产科出血,在使用各种措施无效时,应及时切除子宫。
Objective To investigate the operation chance of emergency obstetric hysterectomy induced by postpartum hemorrhage.MethodsA retrospective study was conducted on 49 pregnant women with emergency obstetric hysterectomy during 15 years（from 1994 to 2008）.ResultsPlacenta factor was the most important reason caused emergency obstetric hysterectomy（48.97%）,the second reason was uterine atony（28.57%）.The quantity of blood loss was 1 700 ml to 8 000 ml（average 4 176 ml）.All the 49 women received blood transfusion（400 ml to 4 800 ml）and all were survived.The perinatal death was 2 cases（3.64%）.ConclusionsHysterectomy is an effective method for those with severe postpartum hemorrhage and it should be performed as soon as possible.
出处
《中国妇产科临床杂志》
2011年第2期116-118,共3页
Chinese Journal of Clinical Obstetrics and Gynecology
