The clinical observation of two methods of hemostasis in the management of hemorrhage in central placenta previa during cesarean section
10.3760/cma.j.issn.1008-6706.2015.17.013
- VernacularTitle:两种止血方法用于中央型前置胎盘患者剖宫产术中止血的效果比较
- Author:
Jing CHEN
;
Hui WU
;
Qian WANG
- Publication Type:Journal Article
- Keywords:
Stiching hemostasis;
Central placenta previa;
The hemostatic effect
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;(17):2598-2600
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss and validate which method is more effectiveness for central placenta previa through analysing the clinical outcomes of the management of hemorrhage between uterine packing and stitching hemo-stasis during cesarean section.Methods 48 pregnant women with central placenta previa was conducted in this ret-rospective study,which were all cesarean section delivery.These patients were divided into two groups.24 patients with uterine packing with gauze in the control of massive hemorrhage during cesarean section were indetified,other-wise,the other 24 patients were conducted with sewing and ligation uterine.And then,the effectiveness and outcomes were compared.Results These all patients were alive and keep the uterus.The average estimated blood loss of the stiching group was (554 ±327)mL,obviously less than the uterine packing group,which was (828 ±584)mL,and the difference was statisatically significant (t =6.689,P<0.01 ).The rate of blood transfusion during operation was 8.33% (2/24)in the group of stiching,and was 50.0%(12/24)in the uterine packing group(P<0.05).Similar-ly,the operation time of the stiching hemostasis group,which was (48.9 ±10.0)min,was evidently shorter than (68.3 ±13.3)min of the other group(t=8.126,P<0.01).The two groups had no significant difference in therate of primary healing of incision,postoperative fever and admission time(P>0.05).Conclusion The uterine stiching is an effective,rapid and simple technique in the control of hemorrhage of central placenta previa.
