围产期紧急子宫切除15例临床分析

目的：探讨围产期紧急子宫切除术的原因及临床特点。方法：回顾分析2011年6月－2014年6月我院15例围产期紧急子宫切除患者资料。结果：15例围产期施行紧急子宫切除术中前置胎盘4例，胎盘早剥1例，胎盘植入1例，子宫收缩乏力6例，剖宫产术后子宫切口出血1例，羊水栓塞2例。伴有失血性休克9例，行次全子宫切除术4例，全子宫切除11例。12例转入重症监护病房（ICU ）。15例均放置腹腔引流管，再次腹腔探查1例。14例治疗后恢复，1例因多脏器衰竭2个月后死亡。结论：紧急子宫切除是抢救产科危重患者重要措施和手段，正确把握手术时机，准确实施，加强术中、术后管理是抢救成功的关键。

Emergency Hysterectomy Clinical Analysis of 15 Cases of Perinatal

Objective ：To analyse the causes and clinical characteristics of perinatal emergency hysterectomy .Methods ：Retrospective analysis in June 2011 to June 2014 in our hospital 15 cases of perinatal emergency hysterectomy patients data .Results：15 cases of perinatal perform emergency hysterectomy placenta previa placenta factor 4 cases ,1 case of placental abruption ,1 case of placenta increta ,uterine contractions fatigue 6 cases ,bleeding ,uterine incision cesarean section in 1 case ,2 cases of amniotic fluid embolism .Line ,9 cases with uncontrolled hemorrhagic shock times total hysterectomy in 4 cases ,total hysterectomy in 11 cases .12 cases were transferred to intensive care unit （ICU） .15 cases were placed abdominal cavity drainage tube ,abdominal probe again in 1 case .14 cases of recovery after treatment ,1 cases died because of multiple organ failure in 2 months .Conclusion：Emergency hysterectomy is an important measure to rescue obstetrics critically ill patients and means of grasping the operation time ,accurate implementation ,strengthen the intraoperative postoperative management is critical to the success of the rescue .