产科急症子宫切除临床分析

目的：总结产科急症子宫切除术的手术指征及并发症。方法：对1995年1月至2002年12月我院施行产科急症子宫切除术的50例病例进行回顾性分析。结果：产科急症子宫切除的发生率为0．41％。手术指征以胎盘因素为主，占60．0％，其次为羊水栓塞或胎盘早剥并发DIC，占24．0％。手术并发症主要为围手术期失血和术后贫血，孕产妇死亡率为6．0％。结论：产科急症子宫切除术是一种迅速制止产后出血、抢救孕产妇生命的有效措施，特别是并发DIC时及时果断切除子宫尤为重要。

Analysis of fifty cases with obstetric emergent hystertomy

Objective:To summarize the indications and complications of obstetric emergent Hystertomy(OEH). Method:The clinical data of 50 cases with OEH during Jan. 1995 to Oct. 2002 were analyzed retrospectively. Result:The incidence of OEH was 0.41%, its major indications were placental factor in 29 cases(60.0%), the remaining was amniotic fluid embolism or abrupt placentae complicated with DIC in 12 cases(24.0%). The operative complications were mainly perinatal blood loss and anemia. The maternal mortality was 6.0%. Conclusion:OEH is an effective measure for prompt controlling of postnatal hemorrhage and save-life of puerperas. In particular, it is very important to resect the uterus when the patients were complicated with DIC.