Retrospective Analysis of Cesarean Hysterectomy Treated with Intervention of Postpartum Hemorrhage in 9 Cases
- VernacularTitle:剖宫产致产后出血经介入治疗失败后行子宫全切术9例报道
- Author:
Jing LUO
;
Yi LV
;
Yabin LUO
- Publication Type:Journal Article
- Keywords:
Cesarean;
Postpartum hemorrhage;
Interventional treatment;
Hysterectomy
- From:
Journal of Kunming Medical University
2013;(11):97-101
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the indication, occasion and risk predication of cesarean hysterectomy and interventional treatment. Methods The clinical data of 9 patients with low cesarean section postpartum hemorrhage that underwent hysterectomy after interventional treatment from January 2012 to January 2013 were analyzed which included surgical indication, disease characteristics, procedure time, bleeding volume and other parameters. Results The most common surgical indication for cesarean that caused postpartum hemorrhage was dangerous placenta previa, accounting for 56%, followed byⅢdegree of placental abruption and preeclampsia. The surgical bleeding of cesarean accounted for 62%-70%of the total amount of bleeding. The total time of rescue was 7.4 ± 1.4 hours. The total amount of bleeding was 7 100 ± 2 250 mL. The occurrence of coagulation disorder was significantly correlated with surgical time and amount of blood loss. Conclusion For postpartum hemorrhage caused by cesarean section with risk factors such as scar uterus, placenta previa, placental abruption, many pregnant prolific and others, we must relax indications of hysterectomy. With future treatment potential, the early intervention of postpartum hemorrhage also plays an important role in reducing hysterectomy rate, reducing intraoperative and postoperative blood loss.
