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产科子宫出血11例病理与产科因素分析

Pathological and obstetrical factors of uterine hemorrhage:an analysis of 11 cases

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【作者】 张瑜张海雁张红丽朱海涛薛京华

【Author】 ZHANG Yu,ZHANG Hai-yan,ZHANG Hong-Li,et al.(Department of Pathology,Children and Matermity Health Hospital of Shaanxi Provence,Xi’an 710003,China)

【机构】 陕西省妇幼保健院病理科陕西省妇幼保健院病理科 西安710003西安710003

【摘要】 目的探讨产科子宫出血的病理及临床特点。方法采用回顾性资料分析方法,对我院11例因产科出血行子宫切除术患者的病理及产科资料进行分析。结果11例经保守治疗无法控制的产科大出血患者中,因病理因素胎盘粘连、胎盘植入和超常胎盘部位反应造成出血的3例;因产科因素子宫收缩乏力、前置胎盘、胎盘早剥,脐带脱垂造成出血的3例;因病理与产科两种因素造成出血的5例。结论对产科子宫出血应当从病理与产科因素两个方面寻找原因,病理因素不可忽视。

【Abstract】 Objective To investigate the pathological and clinical characteristics of severe postpartum hemorrhage.Methods A retrospective analysis was performed in 11 cases of hysterectomy owing to postpartum hemorrhage.Results All the patients were postpartum hemorrhage of obstetrical disorders that could not be controlled by conservative treatment.Among them,there were 3 cases of placental adherence,inreta and abnormal reaction of placental site,3 cases of uterine inertia and other obstetrical cause,and 5 cases induced by both pathological and obstetrical causes.Conclusion For severe postpartum hemorrhage we ought to seek its pathological and obstetrical factors.

【关键词】 病理产科产后出血
【Key words】 PathologyObstetricsPostpartum hemorrhage
  • 【文献出处】 诊断病理学杂志 ,Chinese Journal of Diagnostic Pathology , 编辑部邮箱 ,2008年03期
  • 【分类号】R714.2
  • 【被引频次】2
  • 【下载频次】48
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