文档介绍:宫腔填塞碘伏纱布治疗剖宫产术中出血临床分析
【摘要】目的:探讨宫腔填塞碘伏纱布治疗剖宫产术中出血的治疗效果。方法:选择近10年来我院剖宫产术中及产后出血采用宫腔碘伏纱布填塞治疗的25例病例进行回顾性分析。结果:25例出血病人中,成功24例,总有效率96%,失败1例,为胎盘早剥所致子宫胎盘卒中引起凝血机制障碍行子宫全切除术。所有病人预后良好,未发生宫腔感染及晚期产后出血。术后给予2%催产素维持静脉点滴,24h去除纱布。结论:宫腔填塞碘伏纱布是一种简单易行,不需要特殊设备和技术,效果好见效快,安全可靠的治疗剖宫产术中及产后大出血的方法。成功率高,既控制了出血,又保留了子宫,避免孕产妇死亡。
【关键词】剖宫产术;出血;宫腔填塞;碘伏
【ABSTRACT】 Objective:To investigate the clinical result of intrauterine packing with sterilized gauze for control of postpartum hemorrhage during cesarean :The clinical data of 25 patients taking intrauterine packing with sterilized gauze for control of postpartum hemorrhage during cesarean section in the recent ten years were analyzed :24 of 25 patients by intrauterine packing were rescued essfully,the total effective rate of the therapy was 96%,one essful patient with Placental abruption placenta to the uterus due to clotting mechanisms caused by the obstacles single line patients prognosis was good,no intrauterine infection and late postpartum hemorrhage % of patients were given intravenous oxytocin to maintain 24 hour removal of :Tamponingiodophor gauze strip in uterine cavity is an easy and effective way to cure CS massive he
morrhage which is secure and doesnt need special equipment and controls bleeding,keeps uterine,thus avoids the death of part