产后出血行子宫切除40例临床分析

目的探讨分析产后出血致急症子宫切除的相关因素和预防措施。方法2007年1月～2010年12月本院产后出血行急症子宫切除产妇共40例，对产后出血致子宫切除相关因素进行同顺性分析。结果产后出血急症子宫切除的因素：胎盘因素占35．0％，子宫收缩乏力占35．0％，妊娠合并子宫肌瘤占15．0％．妊娠合并宫颈癌占5．0％，子宫破裂占10．0％。子宫收缩乏力产后大出血逐年减少，胎盘岗素产后大出血逐年增多，妊娠合并症产后出血逐年增多。结论急症子宫切除是抢救产后出血产妇生命的主要手段之一，医护人员加强预防措施．减少产后出血子宫切除的发生。

Clinical analysis of 40 cases of postpartum hemorrhage hysterectomy

Objective To explore the related factors and preventive measures of postpartum hemorrhage led to emergency hysterectomy. Methods There were 40 cases of postpartum hemorrhage led to emergency hysterectomy form January 2007 to December 2010 in our hospital, retrospectively analyzed the relevant factors of postpartum hemorrhage lead to hysterectomy. Results The factors of postpartum hemorrhage lead to hysterectomy included placental factors （35.0%）, uterine atony （35.0%）, pregnancy complicated with uterine fibroids （15.0%）, pregnancy complicated with cervical cancer （5.0%）, uterine rupture （10.0%）. The factor of uterine atony was decreasing, placental factors and pregnancy complications were increasing. Conclusion Hysterectomy is one of the primary means to rescue the life of puerpera, health care workers must strengthen preventive measures to reduce the rate of hysterectomy.