摘要
目的探讨产后出血致子宫切除的原因、手术指征、观察及护理、处理方法、预防措施等。方法采用回顾性资料分析法,对攀枝花市第二人民医院2002～2007年因产后出血致子宫切除的22例患者临床资料进行整理分析。结果6年中攀枝花市第二人民医院分娩产妇2208例中有22例子宫切除,发生率为0.99%,其中剖宫分娩切除19例,阴道分娩切除3例;胎盘因素10例,其中胎盘植入3例,前置胎盘4例,胎盘早剥3例;产后宫缩乏力7例,宫内感染3例,多次妊娠2例。结论子宫切除是治疗产后出血,挽救产妇生命的一项重要措施,但其对产妇的身心有一定的影响。产后出血致子宫切除的发生率,在剖宫分娩组中明显高于阴道分娩组。应加强围生期保健,防止产科严重并发症,严格掌握剖宫产指征,降低剖宫产率,可以减少子宫切除的发生。
Objective To explore the reasons,operation indication,observation and nursing care,therapeutics, and preventive measures of hysterectomia caused by postpartum hemorrhage （PPH）. Methods Retrospective analysis was performed on the clinical data of 22 patients who suffered from hysterectomy caused by postpartum hemorrhage （PPH） in our hospital from 2002 to 2007. Results There were 22 cases suffered from hysterectomy in the 2 208 delivery cases in our hospital in the six years; the incidence was 0.99%; in which 19 cases underwent cesarean section and the other three with vaginal delivery. The reasons of hysterectomy included postpartum uterine inertia （n = 7）,intrauterine infection （n = 3）, multiple pregnancy （n = 2） and 10 cases of placental factors （n = 10, including 3 cases of placenta implant,4 cases of placenta previa and 3 cases of placental abruption）. Conclusion Hysterectomy is an important measure of treating postpartum hemorrhage and saving one＇s living after parturition, but it exerts effect on body and mind of puerperas. The incidence of PPH-caused hysterectomia was significantly higher in cesarean section group than that in vaginal delivery group. A good health education in the pregnancy and perinatal period would reduce the various complications during the pregnancy and the delivery. The cesarean section indications should be strictly controlled so as to reduce the rate of hysterectomy.
出处
《检验医学与临床》
CAS
2009年第8期576-576,578,共2页
Laboratory Medicine and Clinic
关键词
产后出血
子宫切除
护理
预防
postpartum hemorrhage
hysterectomia
nursing
prophylaxis
