急症子宫切除128例临床分析

目的:对产科急症子宫切除的临床情况进行探究,为探寻引起产科急症的因素以及采取重要的对策提供一定的理论依据。方法:回顾性分析1999年10月～2010年10月我院妇产科128例急症临床资料,患者均行子宫切除手术。结果:128例产科急症患者子宫切除手术指征均为子宫大出血,其中胎盘因素60例(46.89%)占首位,前置胎盘、胎盘植入以及胎盘早剥分别为20例、36例、16例。治愈率达到100.00%,围生儿存活104例(81.25%)。结论:对产科大出血患者行子宫切除术,能有效地挽救产科急症患者生命。

Emergency hysterectomy: Clinical analysis of 128 Cases

Objective: To explore clinical characters of obstetric emergency hysterectomy,in order to find out the causes and take appropriate countermeasure.Methods: Data of 128 cases that underwent emergency hysterectomy during 1999.10-2010.10 were retrospectively analyzed.Results:Of the 128 cases,60 had uterine hemorrhage(n=60,46.89%),placental factors accounted for the primary cause followed by placenta previa(n=20 cases) and placenta implantation(n=36 cases),placental abruption(n=16) cases.The cure rate was 100%,the perinatal survival rate was 81.25%(n=104).Conclusions:For patients with obstetrical hemorrhage,hysterectomy can effectively save the lives of patients with emergent obstetric diseases.