产科急症子宫切除12例临床分析

CHINESE JOURNAL OF REPRODUCTIVE HEALTH(2013)

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Abstract
目的 探讨产科急症子宫切除的原因和时效性,降低手术并发症,提高抢救成功率.方法 回顾性分析本院收治的12例产科急症子宫切除患者的临床资料.结果 急症子宫切除指征依次为胎盘因素、子宫收缩乏力、子宫破裂和妊娠合并子宫肌瘤,分别为6、3、1和2例.12例产妇均抢救成功,1例产妇术后出现肺水肿,2例死胎.结论 积极防治妊娠分娩期合并症和并发症,可有效降低产科急症子宫切除率,当难治性产后出血经过规范化保守治疗无效时,应迅速施行产科急症子宫切除术挽救产妇生命.
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