摘要
目的探讨宫腔填塞纱条应用于剖宫产产后出血的临床价值。方法回顾性分析38例剖宫产产后出血的病例。结果34例当时出血得到控制，保守治疗成功，其中有一例发生晚期产后出血，行全子宫切除。4例出血不能控制，并发DIC，行全子宫切除。无死亡病例。结论宫腔填塞纱条是治疗剖宫产产后出血的有效方法之一，止血速度快，方法简单有效，为抢救产妇生命争取了宝贵的时间。
Objective： to evaluated uterine packing with rolled gauze in the management of cesaren postpartum hemorrhage （PPH）. Mithods： prospective audit. 38 women with intractable PPH in cesarean section managed by uterine packing with rolled gauze when medical management are not effective. Results： hemostasis was achieved in 34 cases （89.5%）, with one case had late PPH underwent hysterectomy. 4 cases failed in arresting hemorrhage, DIC was supervened and hysterectomy was required. No maternal death. Conclusions： uterine packing with rolled gauze successfully treats cesarean PPH refractory to medical mangernent in around 90% of cases. It is simple, effective, inexpensive, and it is a useful adjunct in management of PPH.
