[Peripartum子宫切除术。[11例报告]。

F Gardeil, S Daly, M J Turner
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引用次数: 0

摘要

在分娩期间或分娩后不久进行的一系列子宫切除术,均作为紧急情况报道。该研究涵盖了1982年至1991年的十年间,在此期间,65,488名分娩的婴儿出生体重在500克或以上。在21,998例初产妇中没有子宫切除术,多胞胎的发生率为每3,954例分娩中有1例。子宫破裂5例,大出血6例。11例患者中7例有剖宫产史。在多胞胎中,剖宫产疤痕的存在使紧急子宫切除术的风险增加了18倍。没有产妇死亡,但所有患者都需要输入超过6个单位的填充细胞。这些结果强调了这样一个事实,即剖宫产史是患者经历妊娠并发症需要紧急围产期子宫切除术的主要病因。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Peripartum hysterectomy. Report of eleven cases].

A series of hysterectomies performed during labor or shortly after delivery, all as emergencies is reported. The study covered the ten years 1982-1991, during which 65,488 deliveries resulted in infants with a birth weight of 500 g or more. There were no hysterectomies among the 21,998 primipara, the incidence in multipara being 1 per 3,954 deliveries. Five operations were performed for rupture of the uterus and six for cataclysmic bleeding. Seven of the 11 patients had history of caesarean section. In multipara, the existence of a caesarean scar multiplied the risk of emergency hysterectomy by a factor of 18. There were no maternal deaths but all patients required transfusion with more than 6 units of packed cells. These results emphasize the fact that a history of caesarean is the principal etiologic factor in patients experiencing complications of pregnancy which require emergency peri-partum hysterectomy.

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