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剖宫产术中大出血填塞纱条止血53例临床分析
引用本文:杨尚武,王晨虹,文梦灵. 剖宫产术中大出血填塞纱条止血53例临床分析[J]. 中国现代手术学杂志, 2006, 10(3): 227-229
作者姓名:杨尚武  王晨虹  文梦灵
作者单位:1. 深圳市妇幼保健院产科,深圳,518028
2. 中山大学第三附属医院,中山,510630
摘    要:目的观察宫腔填塞纱条对剖宫产术中大出血的止血效果。方法剖宫产术中大出血患者53例,常规处理方法无效后,采用宫腔填塞纱条止血,术中宫体注射缩宫素。以同期剖宫产50例为对照组,采用宫体注射缩宫素20U。结果53例经宫腔填塞纱条后,52例能迅速控制出血,有效率98.1%。与对照组比较,两组术后24h出血量、术后5d、42d子宫径线和无显著差异(P>0.05)。结论宫腔填塞纱条治疗剖宫产术中大出血有积极作用。

关 键 词:剖宫产术  产后出血  外科纱布
文章编号:1009-2188(2006)03-0227-03
收稿时间:2006-03-13
修稿时间:2006-06-06

Clinical Application of Intrauterine Packing with Gauze for Massive Hemorrhage during Cesarean Section
YANG Shang-wu,WANG Chen-hong,WEN Meng-ling. Clinical Application of Intrauterine Packing with Gauze for Massive Hemorrhage during Cesarean Section[J]. Chinese Journal of Modern Operative Surgery, 2006, 10(3): 227-229
Authors:YANG Shang-wu  WANG Chen-hong  WEN Meng-ling
Affiliation:Department of Obstertric, Maternity and Child Health Hospital of Shenzhen City,Shenzhen 518028, Guangdong, China
Abstract:Objective To investigate the effect of intrauterine packing with gauze for massive hemorrhage during cesarean section. Method Intrauterine packing with gauze were applied to 53 massive hemorrhage cases (study group) after routine methods show no effect. Another 50 cases underwent cesarean section was injected oxytocin to uterine body as control group. Results In study group 52 cases were successfully staunched hemostasis and efficacy rate was 98.1%. No significant difference between two groups in uterine rehabilitation of day 5 and day 42 after operation measured by B ultrasonography(P>0.05). Conclusion Intrauterine packing with gauze is simple and effective for massive hemorrhage during cesarean section.
Keywords:cesarean section  postpartum hemorrhage  surgical sponges
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