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剖宫产术后腹部切口愈合不良37例临床分析 被引量:4

Clinical analysis of 37 cases with abdominal incision undesirable healing after cesarean section
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摘要 目的:探讨剖宫产术后腹部切口愈合不良的主要原因、处理方法及预防措施。方法:对我院剖宫产术后腹部切口愈合不良37例病例进行回顾性分析。结果:妊娠合并症及并发症、破膜时间长、产程延长、手术及住院时间长、孕妇肥胖、贫血、急诊手术、手术人员缝合技术等因素增加了剖宫产术后腹部切口愈合不良的几率。结论:提高剖宫产术中操作技术,加强术后护理,合理预防性应用抗生素,及时发现切口异常现象,尽早处理切口及二期缝合切口,均可有效预防切口愈合不良、使切口早期愈合。 Objective: To explore the primary causes for undesirable healing at abdominal incision after cesarean section,and its management methods and preventive measures as well.Methods: 37 patients with abdominal incision undesirable healing after cesarean section were retrospectively analyzed.Results: Complications of pregnancy and the other complications,the longer broken membrane time,the prolonged labour,longer hospitalization duration and the surgery time,obese,anemia,the emergency surgery,the surgery and personnel suture technologies would be high-risk factors resulting in surgical wound bad healing after cesarean section.Conclusions: The improved c-section technique,strenthened post-operative nursing,reasonable and preventive application of antibiotics,timely discovery of the unusual incisions,the promptly management of the incisions and secondary suture as soon as possible may prevent the poor wound healing effectively, and will make the incision heal in the earlier stage.
作者 刘桓均
出处 《华夏医学》 CAS 2010年第5期508-510,共3页 Acta Medicinae Sinica
关键词 剖宫产 腹部切口 愈合不良 cesarean section(C-section) abdomen incision undesirable healing
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