产后出血致急诊子宫切除术13例的临床分析

摘要

目的 探讨急诊子宫切除的高危因素及防治措施.方法 选择该院2013年8月-2016年12月收治的13例因产后出血,紧急情况行子宫切除术的产妇作为研究对象,回顾性分析产后出血致子宫切除术的高危因素.结果 产后出血致子宫切除的高危因素多种多样,其中羊水栓塞4例(30.77%),子宫收缩乏力3例(23.08%),胎盘因素共3例(23.08%),子宫下段裂伤1例(7.69%),子宫内翻1例(7.69%),子宫破裂1例(7.69%).结论 产后出血是分娩时的严重并发症,积极明确病因,抗休克治疗.紧急情况下及时行子宫切除术,才能挽救产妇生命.针对各种高危因素,分析原因,做好防治措施,降低孕产妇病死率.%Objective To analyze the risk factors and preventive measures of postpartum hemorrhage causing obstetric emergency hys -terectomy.Methods Total of 13 patients with postpartum hemorrhage in the Second People Hospital of Wuhu,from August 2013 to De-cember 2016 were retrospectively analyzed.The patients with emergency hysterectomy were selected as the research object.Retrospec-tive analysis of risk factors of postpartum hemorrhage caused Obstetric Emergency Hysterectomy,in order to reduce maternal risk and prevention measures.Results The risk factors of hysterectomy caused by a variety of postpartum hemorrhage,including 4 cases of am-niotic fluid embolism(30.77%),3 cases of uterine atony(23.08%),3 cases of placental factors(23.08%),1 case of subuterine lac-eration(7.69%),1 case of inversion of uterus(7.69%),1 case of uterine rupture(7.69%).Conclusions Postpartum hemorrhage is a serious complication during delivery.Emergency hysterectomy in a timely manner can save maternal life.According to various risk fac-tors,analyze the reasons,completes the prevention and control measures,in order to reduce maternal mortality.