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目的:分析导致产科子宫切除的相关因素探讨降低产科子宫切除率的有效方式。方法:以2007年12月—2011年12月在本院住院分娩产后出血行子宫切除患者的临床资料为研究对象,并随机抽取60例剖宫产产后出血子宫未切除的患者进行对照分析。结果:导致产科急诊子宫切除的因素按照人数从多到少的排列顺序为:分娩方式、流产史、产前的检查以及宫缩剂的使用情况。结论:积极的为孕妇开展产前的预防与保健以及合理的处置产程变化不仅有助于降低子宫切除的几率,对于该项疾病的预防同样具有相当重要的现实意义。
OBJECTIVE: To analyze the related factors leading to hysterectomy in obstetrics and discuss the effective ways to reduce the rate of hysterectomy. Methods: The clinical data of patients undergoing hysterectomy for postpartum hemorrhage hospitalized in our hospital from December 2007 to December 2011 were selected as the research objects. Sixty cases of uterine bleeding after cesarean section were randomly selected for comparison. Results: The obstetric emergency hysterectomy according to the number of fewer and fewer in the order: mode of delivery, abortion history, prenatal examination and the use of uterotonics. Conclusion: Active prenatal prevention and care for pregnant women and reasonable treatment of labor changes not only help to reduce the chance of hysterectomy, for the prevention of the disease also has a very important practical significance.