Abstract:

Hysterectomy is the ultimate management option for uterine hemorrhage.If other less invasive methods are unable to control the life-threatening uterine bleeding in the management of amniotic fluid embolism，hysterectomy should be immediately performed.However，hysterectomy is not the primary or necessary treatment in most cases and prophylactic hysterectomy should never be performed.The indications，techniques and perioperative management are discussed in the article.

Key words: amniotic fluid embolism, hysterectomy , abdominal packing

摘要：

子宫切除是控制子宫出血的最终选择。如果其他方法都不能控制子宫出血，应迅速果断地切除子宫。子宫切除不是治疗羊水栓塞的必要措施，不应实施预防性子宫切除。文章主要探讨羊水栓塞时子宫切除的指征、子宫切除的方法以及围手术期处理。

关键词: 羊水栓塞, 子宫切除术, 腹部填塞