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自制宫腔水囊压迫治疗产后出血在基层医院转诊中的应用研究

Research of Self-make Uterine Water Sac Compression in the Treatment of Postpartum Hemorrhage Patients in Primary Hospital before Referral

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【作者】 马庆宁周国萍

【Author】 MA Qing-ning,ZHOU Guo-ping The First People’s Hospital of Yulin,Yulin 537000,China

【机构】 广西玉林市第一人民医院

【摘要】 目的:探讨自制宫腔水囊压迫治疗产后出血在基层医院转诊中的应用研究。方法:选择2009年10月-2012年4月玉林市第一人民医院出诊基层医院(包括县级医院及乡镇卫生院)产后出血产妇38例作为研究对象,经按摩子宫、应用子宫收缩剂等常规处理方法后,仍有阴道大量出血或有大出血倾向,转诊前行自制宫腔水囊压迫止血治疗,研究治疗后阴道流血情况。结果:38例产妇应用自制宫腔水囊压迫止血,阴道流血量立即明显减少。12~24h取出水囊,38例均未再次发生大出血,止血率100%。无死亡、感染情况。结论:自制宫腔水囊压迫治疗产后出血效果佳、止血迅速、操作简便、容易掌握,留置时间短,并发症少,可作为基层医院产后出血产妇转诊前的常规处理。

【Abstract】 Objective:To Study the application of self-make uterine cavity water sac compression in the treatment of postpartum hemorrhage patients in primary hospital before referral.Method:From Oct.2009 to April.2012,we select 38 cases as research object who hemorrhaged in vaginal delivery in primary hospital(including county hospital and township health center),after massage uterus,self-make uterine contraction agent routine methods was invalid,water sac compression was used before referral,observing vaginal bleeding.Result:38 cases used self-make uterine water sac compression,vaginal bleeding amount immediately were obviously reduced.After using it 12-24 hours to remove water sac,38 cases did not hemorrhage again,hemostatic efficiency 100%.No one case died.Conclusion:Self-make uterine water sac compression to treat postpartum hemorrhage of self-make uterine atony is effective,hemostatic rapid,simple operation,easy to grasp,lien short time,the fewer complications,which can be used as a conventional treatment in primary hospital before referral.

【基金】 广西玉林市科技攻关项目(编号:11023006)
  • 【文献出处】 中国医学创新 ,Medical Innovation of China , 编辑部邮箱 ,2012年34期
  • 【分类号】R714.461
  • 【被引频次】2
  • 【下载频次】24
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