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晚期产后出血45例临床分析
引用本文:黄元英,刘笑梅,焦丽.晚期产后出血45例临床分析[J].天津医科大学学报,2004,10(2):258-260.
作者姓名:黄元英  刘笑梅  焦丽
作者单位:天津市南开医院妇产科,天津,300100
摘    要:目的:探讨晚期产后出血的病因及防治措施。方法:回顾性分析45例晚期产后出血的病因及处理。结果:主要病因依次为胎盘、蜕膜残留,子宫内膜炎和(或)蜕膜炎,子宫复旧不良以及剖宫产术后的子宫切口感染、裂开出血等。结论:治疗以清宫为主,对急性出血者可行经皮髂内动脉栓塞术或子宫切除术。

关 键 词:晚期产后出血  病因  治疗
文章编号:1006-8147(2004)02-0258-03
修稿时间:2004年4月5日

Clinical analysis of 45 cases with late postpartum hemorrhage
HUANG Yuan-ying,LIU Xiao-mei,JIAN Li.Clinical analysis of 45 cases with late postpartum hemorrhage[J].Journal of Tianjin Medical University,2004,10(2):258-260.
Authors:HUANG Yuan-ying  LIU Xiao-mei  JIAN Li
Abstract:Objective: To investigate the etiology, prevention and management of late postpartum hemorrhage.Methods:To analyze retrospectively the etiology and management of 45 cases of late postpartum hemorrhage.Results:The main causes was retained placenta and membranes, endometritis and decidualitis, subinvolution of uterus, infection dehiscence and hemorrhage of caesarean incision in turn.Conclusion:The first choice of treating late postpartum hemorrhage is curettage.Acute hemorrhage can be controlled by transcutaneous internal iliac artery embolization or total hysterectomy.
Keywords:Late Postpartum Hemorrhage  Etiology  Therapy
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