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1、剖宮產(chǎn)術(shù)后晚期產(chǎn)后出血相關(guān)因素分析【摘要】目的探討剖宮產(chǎn)術(shù)后晚期產(chǎn)后出血時間、病因、防治措施。方法對2003年6月至2008年6月本院收治的47例剖宮產(chǎn)術(shù)后晚期產(chǎn)后出血病例進行回顧性分析。結(jié)果發(fā)病原因依次為:子宮切口感染,子宮切口裂開,胎盤、蛻膜殘留,子宮復(fù)舊不良。病例剖宮產(chǎn)指征多見于:產(chǎn)程異常、頭盆不稱、胎兒窘迫、妊高征、前置胎盤、剖宮產(chǎn)史等。發(fā)生時間以剖宮產(chǎn)術(shù)后>3周者占多數(shù)(65.96%),其中部分病例(12.77%)>6周。結(jié)論剖宮產(chǎn)術(shù)后晚期產(chǎn)后出血的時間不應(yīng)局限于產(chǎn)褥期內(nèi),其
2、主要病因是子宮切口感染、裂開,多見于產(chǎn)程異常所行剖宮產(chǎn)。對病因的診斷、防治值得重視?!娟P(guān)鍵詞】剖宮產(chǎn)并發(fā)癥晚期產(chǎn)后出血【Abstract】ObjectiveToexplorethetime,etiologicalfactors,treatmentsforpreventionandcureoflatepostpartumhemorrhageaftercaesareansection.MethodsRetrospectiveanalysiswasundertakento47casesoflatepos
3、tpartumhemorrhageatercaesareansectioncollectedfromthehospitalbetween2003,6and2008,6.ResultsThecauseswereinfectionofincisionalwound,disruptionofwound,residualofplacentaanddecidua,poorinvolutionofuterusinturn.Theindicationofcaesareansectionwerelaborabno
4、rmality,cephalopelvicdisproportion,8剖宮產(chǎn)術(shù)后晚期產(chǎn)后出血相關(guān)因素分析【摘要】目的探討剖宮產(chǎn)術(shù)后晚期產(chǎn)后出血時間、病因、防治措施。方法對2003年6月至2008年6月本院收治的47例剖宮產(chǎn)術(shù)后晚期產(chǎn)后出血病例進行回顧性分析。結(jié)果發(fā)病原因依次為:子宮切口感染,子宮切口裂開,胎盤、蛻膜殘留,子宮復(fù)舊不良。病例剖宮產(chǎn)指征多見于:產(chǎn)程異常、頭盆不稱、胎兒窘迫、妊高征、前置胎盤、剖宮產(chǎn)史等。發(fā)生時間以剖宮產(chǎn)術(shù)后>3周者占多數(shù)(65.96%),其中部分病例(12.77
5、%)>6周。結(jié)論剖宮產(chǎn)術(shù)后晚期產(chǎn)后出血的時間不應(yīng)局限于產(chǎn)褥期內(nèi),其主要病因是子宮切口感染、裂開,多見于產(chǎn)程異常所行剖宮產(chǎn)。對病因的診斷、防治值得重視?!娟P(guān)鍵詞】剖宮產(chǎn)并發(fā)癥晚期產(chǎn)后出血【Abstract】ObjectiveToexplorethetime,etiologicalfactors,treatmentsforpreventionandcureoflatepostpartumhemorrhageaftercaesareansection.MethodsRetrospectiveana
6、lysiswasundertakento47casesoflatepostpartumhemorrhageatercaesareansectioncollectedfromthehospitalbetween2003,6and2008,6.ResultsThecauseswereinfectionofincisionalwound,disruptionofwound,residualofplacentaanddecidua,poorinvolutionofuterusinturn.Theindic
7、ationofcaesareansectionwerelaborabnormality,cephalopelvicdisproportion,8fetaldistress,gestationalhypertension,placentalpresentation,uterine-incisiondeliveryhistoryandsoon.Mostlyhappened3weekslateraftercaesareansection(65.96%),partofthem(12.77%)happene
8、d6weekslater.ConclusionsThelatepostpartumhemorrhageisnotconfinedtopuerperiumonlyaftercaesareansection.Themajorcausesareofincisionalwoundinfectionanddisruptionofwound,whichmainlyoccurrsinuterine-incisiondeliveryafterlaborabnormality.Theetiopath