285例剖宫产并发症的临床资料分析

目的分析剖宫产并发症产生的原因,寻找相关因素。方法回顾性分析2004-2006年我院285例剖宫产并发症的临床资料。结果我院剖宫产术的并发症发生率5.93%,明显高于阴道分娩的并发症发生率;产后出血仍然是剖宫产术的主要并发症,占我院并发症总数的68.34%;产后出血,晚期产后出血,总产褥病率,腹壁切口愈合不佳的发生率分别为4.05%,0.21%,0.90%,0.74%。结论术前已有产后出血高危因素是剖宫产产后出血的一个重要原因:剖宫产术后子宫切口愈合不良伴感染应引起基层医院产科医师的重视。急诊剖宫产尤其应注意预防产褥感染的发生。

The analysis of 285 clinical datum of complications in cesarean section

Objective To analyze the reasons for complications in cesarean section and the factors correlated to them. Methods To study the 285 clinical datum of complications in cesarean section between 2004 and 2006. Results The total incidence of complications in cesarean section reaches 5.93%, much higher than that of complications in vaginal delivery. Postpartum hemorrhage is still the dominant component, which accounts for 68.34% of the total number. The incidence of postpartum hemorrhage, late postpartum hemorrhage, puerperal morbidity, wound healing problem is 4.05%,0.21%,0.90%,0.74%,respectively. Conclusion The healing problems and infection of uteral incision after cesarean section should be emphasized, especially to the obstetricians in small hospitals. Puerperal infection should be paid more attention in urgent cesarean section.