【摘要】 目的 :探讨子宫腔填塞甲硝唑纱条治疗产后出血的临床意义。方法 :凡产后或剖宫产术后因宫缩乏力、胎盘附着面出血引起的产后出血 ,出血量 >80 0ml者 ,在使用宫缩剂或缝合出血面无效时 ,给予子宫腔填塞甲硝唑纱条止血。术后 18～2 4h经阴道取出纱条。结果 :6 0例产后出血者经子宫腔填塞纱条止血成功。 1例因胎盘植入 ,填塞纱条无效行子宫切除。术后感染率为 2 2 .95 % ,稍高于同期剖宫产术后感染率 (19.88% ) ,但差异无显著性 (u =0 .6 0 ,P >0 .0 5 ) .结论 :子宫腔填塞甲硝唑纱条操作简单 ,疗效确切 ,是一种安全、快速控制产后出血的方法更多还原

【Abstract】 Objective:To cxplore the clinical significance of ramming uterine cavity with flagyl gauze in treatment of puerperal hemorrhage.Methods:The uterine cavities of 61 cases were rammed with flagyl gauze as hemostasis,whose puerperal hemorrhage exceeded 800 ml due to less uterine contraction or puerperal placenta attach side hemorrhage or post cesarean section,when it was of no avail using uterotonic or stitching the hemorrhage side.The gauze was taken out after 18～24 hours through vaginal.Results:Sixty cases of puerperal bleeding were successfully stanched by ramming uterine cavity with flagyl gauze.One case failed due to placenta planting and hysterectomy was performed.The incidence of postoperative disease was 22.95%,which was a little higher than that in post cesarean section(19.88%).The difference was not significant( u=0.60,P> 0.05).Conclusions:The technique of ramming uterine cavity with flagyl gauze is simple,safe and rapid in controlling puerperal hemorrhage with affirmed curative effect.更多还原