剖宫产术后晚期产后出血43例临床分析

目的探讨剖宫产术后晚期产后出血发生时间、病因及治疗措施.方法对1999-2004年43例剖宫产术后晚期产后出血的病例进行回顾性分析.结果发病原因依次为子宫切口裂开,子宫复旧不良,胎盘、蜕膜残留,子宫内膜炎,重度贫血,产后绒癌.发生时间以剖宫产术后3周以上占多数(67.44%),部分病例(16.28%)在6周以上.结论剖宫产术后晚期产后出血的时间不仅局限于产褥期内,主要病因是子宫切口裂开.针对出血病因进行防治是非常重要的.

Forty three cases of late postpartum hemorrhage after cesarean section

Objective To explore occuring time,pathogenesis,prevention,and management of late postpartum hemorrhage after cesarean section.Methods Clinical data of 43 cases of late postpartum hemorrhage from 1999 to 2004 were analyzed retrospectively.Results The causes were rupture of cesarean incision,subinvolution of uterus,retained placenta or decidua,endometritis,serious anemia,and postpartum choriocarcinoma in order.Most cases(67.44%) had hemorrhage over three weeks after delivery,some even over six weeks(16.28%).Conclusion Late postpartum hemorrhage after cesarean section may occur beyond puerperium and the main cause is rupture of incision.Prevention and treatment for the causes of late postpartum hemorrhage after cesarean section are very important.