产道血肿17例分析

本文报道17例产道血肿,经相对危险度分析,血小板减少、贫血、妊高征,滞产,肥胖均为诱发因素。产后数小时肛门胀痛是产道血肿的典型症状,阴道上型血肿延及阔韧带,可引起同侧下腹痛。新鲜血肿应立即开放血肿腔、排出血液、止血缝合。纵切口便于暴露创底、寻找血点,止血不彻底时可填塞阴道,压迫止血。血肿位置高及肥胖产妇可硬膜外麻醉,术后用大量抗菌素预防感染。陈旧血肿因血液已渗入组织间,无法排出,只能预防感染,待其自然吸收。

Analysis of Birth Canal Hematoma in 17 Cases

17 cases of birth canal hematoma were reported in this article.It was analyzed with relative risk method.The results showed that thrombocytopenia,anemia,EPH syndrome,prolonged labor.Fatty were the factors which lead to birth canal hematoma,so that we must examine them carefully after the delivery.The typical symptom was painful in anus area within severl hours after labor. If it extended into broad ligament,there was painful in the same lateral lower abdomen.The treatment of fresh hematoma is exposure it,taking off the blood clot,hemostasis and then close up it. Longitudinal incision is convenient to expose its cavity and to seek for bleeding points.If bleeding cannot be stopped completely,pad is needed for tamponing.Epidural anesthesia is useful when hemotma is located in the upper segment of vagina.In order to prevent infection, plenty of antibiotics was given after the operation.Treatment can prevent from infection and the hematoma would be absorbed spontan- ously.