The effect of intrauterine packing with gauze for hemostasis of uterine atony during operation
10.3760/cma.j.issn.1008-6706.2014.09.016
- VernacularTitle:宫腔纱条填塞术对术中子宫收缩乏力性出血的止血评价
- Author:
Rui SONG
;
Guoliang DAI
;
Shaomin XU
- Publication Type:Journal Article
- Keywords:
Hemostasis,Surgical;
Postpartum hemorrhage
- From:
Chinese Journal of Primary Medicine and Pharmacy
2014;(9):1313-1314
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate hemostatic effect of uterine tamponade in dealing with postpartum hem -orrhage due to uterine inertia during caesarean section .Methods 72 patients treated with conservative treatment due to bleeding uterine contraction weakness during cesarean section were chosen ,who were dealed with sterile gauze close packing of uterine bleeding ( uterine packing group ) .43 patients underwent conservative therapy of uterine contraction weakness resulted in postpartum hemorrhage were selected to carry out B -Lynch suture hemostasis ( B-Lynch suture group).Bleeding volume,operation time,bleeding efficiency of two groups were calculated .Results The uterine packing group had shorter operation time ,less bleeding,immediate hemostasis rate.The B-Lynch suture group had a tad longer operation time , bleeding more , immediate hemostasis rate low , low efficiency .Immediate hemostasis rate (95%VS 82%)between two groups had statistically significant (χ2 =4.02,P<0.05),and no significant difference in the operation time(t=0.73,P>0.05).Conclusion Uterine packing for postpartum hemorrhage due to uterine inertia during caesarean section has simple operation ,rapid,hemostatic effect,postoperative body without foreign body removal.
