急症子宫切除术治疗产后大出血22例分析

目的 总结产科急症子宫切除的原因和经验培训，分析相关危险因素。方法 对我院近4年间产科急症行子宫切除术的病例作回顾性分析。结果 我院共施行产科急症子宫切除22例，在本院分娩的15例，占同期同娩人数的0．41％；乡镇卫生院产后转诊7例，占产科子宫切除的31．81％；胎盘因素13例，占59．09％；初产妇4例，经产妇17例，疤痕子宫6例。结论 产科子宫切除是抢救产妇生命的一项重要措施，胎盘因素是产科急症子宫切除的主要原因，其次是宫缩乏力和子宫破裂。多次孕产、刮宫及剖宫产是产科急症子宫切除的高危因素。

Analysis of Emergency Hysterectomy on Patients with Severe Postpartum Hemorrhage: A Report of 22 Cases

Objective To summarize the causes and experience of emergency hysterectomy, to analyze the risk factors. Methods A retrospective analysis was performed on 22 cases of emergency hysterectomy by reason of postpartum hemorrhage. Results 22 patients were treated by emergency hysterectomy because of severe postpartum hemorrhage. Among them, there were 15 cases of delivery in our hospital, 4 cases were primipara, 17 cases were muhipara, 6 cases were cicatricial uterus. Conclusions Emergency hysterectomy is an important treatment to rescue parturient life, The main reason of emergency hysterectomy was placental factor, the next was uterine inertia and rupture of uterus. Many times fetation,uterine curettage and cesarean were risk factors of emergency hysterectomy.