产后出血致急诊子宫切除术13例的临床分析

目的 探讨急诊子宫切除的高危因素及防治措施.方法 选择该院2013年8月-2016年12月收治的13例因产后出血,紧急情况行子宫切除术的产妇作为研究对象,回顾性分析产后出血致子宫切除术的高危因素.结果 产后出血致子宫切除的高危因素多种多样,其中羊水栓塞4例(30.77%),子宫收缩乏力3例(23.08%),胎盘因素共3例(23.08%),子宫下段裂伤1例(7.69%),子宫内翻1例(7.69%),子宫破裂1例(7.69%).结论 产后出血是分娩时的严重并发症,积极明确病因,抗休克治疗.紧急情况下及时行子宫切除术,才能挽救产妇生命.针对各种高危因素,分析原因,做好防治措施,降低孕产妇病死率.

13 cases of postpartum hemorrhage caused by emergency hysterectomy clinical analysis

Objective To analyze the risk factors and preventive measures of postpartum hemorrhage causing obstetric emergency hysterectomy. Methods Total of 13 patients with postpartum hemorrhage in the Second People Hospital of Wuhu,from August 2013 to December 2016 were retrospectively analyzed.The patients with emergency hysterectomy were selected as the research object.Retrospective analysis of risk factors of postpartum hemorrhage caused Obstetric Emergency Hysterectomy,in order to reduce maternal risk and prevention measures. Results The risk factors of hysterectomy caused by a variety of postpartum hemorrhage,including 4 cases of amniotic fluid embolism(30.77%),3 cases of uterine atony(23.08%),3 cases of placental factors(23.08%),1 case of subuterine laceration(7.69%),1 case of inversion of uterus(7.69%),1 case of uterine rupture(7.69%). Conclusions Postpartum hemorrhage is a serious complication during delivery.Emergency hysterectomy in a timely manner can save maternal life.According to various risk factors,analyze the reasons,completes the prevention and control measures,in order to reduce maternal mortality.