晚期产后出血的防治(14例临床分析)

作者对我院自1981年1月至1985年12月五年间晚期产后出血14例进行了分析。经阴道分娩12例:胎盘残留6例;胎盘附着面复旧不良4例和子宫感染2例,腹膜外剖腹产术后子宫切口感染出血2例,均作了子宫切除术。虽然腹膜外剖腹产适用于感染病例,但操作较费时,膀胱子宫间隙的创面较大,抗感染力较低,炎性渗出液无引流之处,一旦子宫切口感染,其危害极为严重,应当予以重视。

PREVENTION AND TREATMENT OF LATE POSTPARTUM HEMORRHAGE——CLINICAL ANALYSIS OF 14 CASES

The present paper analyses 14 cases of late postpartum hemorrhage treated in our hospital during the years 1981 through 1985. Among these 14 cases, 6 cases of retained placental fragments, 4 cases of subinvolution of the placental site and 2 cases of infection of the uterus, and two cases were late pastpartum hemorrhage caused by infection and bleeding from the incision in the lower segment after extraperitoneal cesarean section, and total hysterectomy was performed in both cases, Although extra-peritoneal cesarean section is indicated in infected cases the procedure lasts long. There is a larger traumatic surface in the space between the bladder and uterus. Local infective resistance is lower The inflammatory exudate cannot be drained. It would be very serious once the infection ocurres in the incision in the lower segment.