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目的:探讨产科急症子宫切除的原因以及临床意义。方法:选取2009年3月～2011年10月间我院收治的行产科急症子宫切除的27例患者临床资料进行回顾分析。结果:27例行子宫切除的患者共分娩28例新生儿(其中1例为双胞胎),存活婴儿为24例(85.71%),4例新生儿死亡(14.29%)。1例产妇因多脏器功能衰竭而抢救无效死亡,其余均治愈出院,治愈率为96.30%。结论:子宫切除术主要用于抢救产科危重急诊出血患者,是降低临床孕妇、产妇死亡率的主要手段与措施,但在术前需准确掌握患者临床指征,进而采取合理的手术措施,从而有效降低临床子宫切除术率及剖宫产率。
Objective: To investigate the causes and clinical significance of obstetrical emergency hysterectomy. Methods: From March 2009 to October 2011 in our hospital obstetrics and gynecology emergency hysterectomy 27 cases of clinical data were retrospectively analyzed. RESULTS: Totally 28 newborns (1 of them were twins) were delivered in 27 hysterectomies, 24 (85.71%) survived infants, and 4 newborns (14.29%) died. One case of maternal death due to multiple organ failure failed to rescue, the rest were cured, the cure rate was 96.30%. Conclusion: Hysterectomy is mainly used to rescue emergency patients with obstetric bleeding, is to reduce the clinical maternal and maternal mortality rate of the main means and measures, but in patients with accurate preoperative clinical indications, and then take reasonable surgical measures to be effective Reduce the rate of clinical hysterectomy and cesarean section.