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目的对子宫切除手术在产科急症中的临床应用进行分析研究。方法对本院接受子宫切除手术治疗的15例患者临床诊治资料进行回顾分析。结果本组共有15例患者接受子宫切除手术治疗,其中因胎盘因素导致子宫出血而行子宫切除的有12例,因子宫破裂而行子宫切除的有2例,因羊水栓塞导致子宫出血而行子宫切除的有1例;15例患者在接受子宫切除手术后均痊愈出院。结论产科急性大出血是实施子宫切除手术的重要指征,而胎盘因素是导致子宫出血的主要因素,应该加强对孕产妇的围生期保健护理措施,减少剖宫产,从而降低子宫切除率。
Objective To analyze the clinical application of hysterectomy in obstetric emergencies. Methods The clinical data of 15 cases undergoing hysterectomy in our hospital were retrospectively analyzed. Results A total of 15 patients underwent hysterectomy in this group. Among them, 12 cases underwent uterine resection due to placental factors, 2 cases underwent hysterectomy due to uterine rupture, and uterine bleeding due to amniotic fluid embolism One patient was excised; 15 patients were discharged after hysterectomy. Conclusions Obstetric acute hemorrhage is an important indicator of hysterectomy, and placenta is the main factor leading to uterine bleeding. Perinatal care and nursing interventions should be strengthened to reduce cesarean section and hysterectomy rate.