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    • B-lynch缝合术在产后出血中的临床应用

    徐艳,管丽芳,汤艳秋,顾雪芳

    Henan Journal of Surgery（2014）

    Cited 0|Views2
    Abstract
    随着社会人为因素及产妇自身因素导致剖宫产率逐年升高,剖宫产术后出血的发生率亦呈上升趋势.产后出血是产科分娩期的严重并发症,是直接导致孕产妇死亡主要原因之一[1].2013-08-2014-01,我院采用B-Lynch缝合术治疗剖宫产术中出血患者25例,效果满意,现报道如下. 1 资料与方法 1.1 临床资料 本组25例患者,年龄20～ 36岁,平均27.7岁.孕周36 ～41周.初产妇20例,经产妇5例.术中出血原因:原发子宫收缩乏力致产后出血10例,巨大儿4例,双胎妊娠5例,臀先露2例,子宫肌瘤1例,新生儿畸形引产失败1例,疤痕妊娠2例均继发宫缩乏力.术中出血量500～1 500 mL,平均(750±120)mL.在按摩子宫、强效宫缩剂的应用无效或效果不佳后,即行B-lynch缝合术.
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