中国实用妇科与产科杂志

中国实用妇科与产科杂志

• 专题笔谈 • 上一篇    下一篇

剖宫产手术中并发产后出血保守治疗

  

  1. 安徽医科大学第一附属医院妇产科，安徽 合肥 230022
  • 出版日期:2019-02-02 发布日期:2019-02-01
  • 通讯作者: 尹宗智
  • 基金资助:

    国家自然科学基金青年基金（81300514）；中国博士后基金（2016M592039）；安徽省高校自然科学研究项目（KJ2018A0188）

Conservative treatment for hemorrhage during caesarean operation.

  1. Department of Obstetrics and Gynecology，the First Affiliated Hospital of Anhui Medical University，Hefei 230022，China
  • Online:2019-02-02 Published:2019-02-01

摘要：

剖宫产手术过程中常发生出血增多，若不及时处理可导致严重产后出血。术中根据出血状况及时采取有效治疗措施，避免严重出血带来的一系列并发症极其重要。文章从药物治疗、宫腔填塞、子宫压迫缝合、血管阻断等方面对剖宫产手术中各类止血方案的优缺点和使用时机展开论述，强调止血宜及时，尽早达到止血效果，减少大量出血后并发症的发生。

关键词: 产后出血, 剖宫产, 宫腔填塞, 子宫压迫缝合, 血管阻断

Abstract:

Hemorrhage often occurs during caesarean section，which can lead to severe postpartum hemorrhage if not treated in time.Effective treatment can avoid serious bleeding and following complications.This paper discussed the advantages and disadvantages of various hemostasis schemes，which included uterotonics，uterine cavity tamponade，uterine compression suture，and vascular occlusion.Any hemostasis selected should be used as early as possible to achieve sufficient effect and reduce the morbidity of complications after massive hemorrhage.

Key words: postpartum hemorrhage, caesarean section, uterine cavity tamponade, uterine compression suture, vascular occlusion

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