引用本文:蒙文霞,陈 滢.产妇急症子宫切除36例的原因分析和手术时机选择[J].中国临床新医学,2009,2(12):1301-1303.
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产妇急症子宫切除36例的原因分析和手术时机选择
蒙文霞,陈 滢
545001 柳州,广西医科大学附属柳州市人民医院产科
摘要:
[摘要] 目的 分析产妇急症子宫切除的原因和手术时机以及降低产科子宫切除发生率的有效措施。 方法 对急症子宫切除36例的相关因素进行回顾性分析。结果 急症子宫切除的原因主要为胎盘因素、肌瘤、产后感染等。结论 急症子宫切除术对不能控制的子宫出血、挽救产妇的生命虽是行之有效的措施,但应严格掌握适应症。加强计划生育教育、严格剖宫产指征是减少产科急症子宫切除的措施。
关键词:  子宫切除术  产科出血
DOI:10.3969/j.issn.1674-3806.2009.12.30
分类号:R 719.9
基金项目:
Application time and causes of emergency hysterectomy :Report of 36 cases
MENG Wen-xia, CHEN Ying
The Fifth People′s Hospital of Guangxi Medical Universty(Liuzhou City People′s Hospital), Liuzhou 545001, China
Abstract:
[Abstract] Objective To probe into the application time and causes of emergency hysterectomy in obstetrical bleeding as well as the precautionary measures to reduce the application of obstetrical hysterectomy. Methods The retrospective analysis of related factors of 36 cases of emergency hysterectomy was performed. Results Among 36 cases, 2 cases died. The main causes of the application of hysterectomy during pregnancy and laboring was placenta factor, myoma and infection factor in post partum. Conclusion Hysterectomy is the effective measure to restrain uncontrollable uterus bleeding and to save puerpera′s life. The possible precautionary measures to reduce the application of obstetrical hysterectomy is to strengthen family planning and strictly control of the caesarean birth, and to elaborately select notch during caesarean birth.
Key words:  Hysterectomy  Obstetrical Bleeding