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剖宫产术产后出血的预防

Prevention of intraoperative and postoperative bleeding in cesarean section

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【作者】 代玉蓉任秀蓉陈欣孙艳红唐爽

【Author】 DAI Yu-yang,REN Xiu-rong,CHEN Xin,et al.(Mianyang Municipal People’s Hospital,Mianyang,Sichuan 621000,China)

【机构】 绵阳市人民医院

【摘要】 目的:探讨产后出血的预防措施。方法:将2004年1月~2006年5月在我院因双胎、巨大儿、前置胎盘、胎盘早剥等行剖宫产术的病例为甲组,与2006年6月~2008年5月因以上原因于剖宫产术中预防性施行改良式B-Lynch缝合的病例为乙组进行对比,两组病例于胎儿娩出后常规应用宫缩剂(缩宫素,卡孕栓,米索前列醇)。结果:预防性施行改良式B-Lynch缝合术的病例出血量明显减少,降低了产后出血的发生率。结论:在剖宫产术中预防性应用改良式B-Lynch缝合术能有效降低产后出血的发生。

【Abstract】 Objective:To investigate the prevention of intraoperative bleeding in cesarean section.Methods:A retrospective study was carried out to analyse the curative effect of the improved B-lynch surgical technique.The cases with postpartum hemorrhage without preventive modified B-Lynch suture from June 2004 to May 2006 in our hospital were compared with the preventive modified B-Lynch suture from January 2006 to May 2008.Uterotonics (oxytocin,progesterone suppository card,misoprostol) were routinely used in both groups.Results:Preventive modified B-Lynch suture significantly reduced the amount of bleeding,and incidence of postpartum hemorrhage.Conclusion:For cesarean section,the application of preventive modified B-Lynch suture can effectively reduce the incidence of postpartum hemorrhage.

  • 【文献出处】 现代医药卫生 ,Modern Medicine & Health , 编辑部邮箱 ,2010年03期
  • 【分类号】R719.8
  • 【下载频次】37
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