摘要
本文报告29例剖宫产后宫腔积血。平均宫腔积血量423ml,失血量1164ml,输血量986ml。17例出现失血性休克,1例 DIC,切除子宫并遗留席汉氏综合征。此症90%发生于术后4小时内,半数在30分钟内。多见于未临产和/或宫缩无力者。临床表现失血症状和体征而无阴道出血,但臀下床垫常被血清渗湿。加强术后观察,及时发现,积极抢救失血性休克,排空宫腔,恢复良好的宫缩为主要治疗手段。
29 cases of intrauterine blood clot after cesarean delivery were reported,Of them17 patients developed hemorrhagic shock,and one with DIC had to undergo hysterec-tomy,but she developed Sheehan's syndrome 3 months later.The average amounts of blood loss and blood transfusion was 1164ml and 986mlrespectively.18 patients had blood loss more than 1000ml and ten had blood transfu-sion more than 1000ml.Clinically,most of this condition developed in those patients who had cesareansection before labor and were also accompanied by uterine atony during operation.All of them presented symptoms and signs of blood loss without vaginal bleeding,but the mattress under the patient's buttocks was usually soaked by seeped serum.The treatment of this complication is mainly to remove the blood clots from theuterine cavity and to recover the uterine contraction well.It is important to knowclearly the clinical character of this disease in order to prevent the occurrence ofbleeding or make early diagnosis and to treat it as early as possible.
出处
《天津医药》
CAS
1990年第6期359-361,共3页
Tianjin Medical Journal
