目的探讨产科急症子宫切除的手术指征和手术方法。方法 70例急症患者作为研究对象,探讨产科急症子宫切除术的手术指征和手术方法。结果所有患者均行急性子宫切除术,其手术指征包括胎盘因素、宫缩乏力、弥散性血管内凝血、瘢痕子宫破裂、子宫多发肌瘤剖宫产等,所占比例分别为38.6%、28.6%、17.1%、10.0%、5.7%;所有孕产妇共分娩婴儿70例,分娩方式有自然分娩11例,剖宫产分娩59例,其中67例新生儿痊愈出院,治愈率为95.7%,新生儿死亡3例。结论在对产科急诊患者进行治疗过程中,行子宫切除术是抢救产科急危重大出血的有效措施。 Objective To investigate the surgical indications and surgical methods of emergency hysterectomy. Methods Seventy emergency patients were investigated to investigate the surgical indications and surgical methods of emergency hysterectomy. Results All patients underwent acute hysterectomy. The indications for surgery included placental factors, uterine atony, disseminated intravascular coagulation, scarring of uterine rupture and cesarean section of uterine fibroids, accounting for 38.6% and 28.6% respectively 70 cases were delivered by all pregnant women, 11 cases were delivered by natural delivery, 59 cases were delivered by cesarean section, among them 67 cases were discharged completely and the cure rate was 95.7% Children died in 3 cases. Conclusions During the treatment of obstetric emergent patients, hysterectomy is an effective measure to rescue obstetric acute and critical hemorrhage.