Wong W C, Kun K Y, Tai C M
Department of Obstetrics and Gynecology, Pamela Youde Nethersole Eastern Hospital, Hong Kong.
J Obstet Gynaecol Res. 1999 Dec;25(6):425-30. doi: 10.1111/j.1447-0756.1999.tb01188.x.
To review emergency obstetric hysterectomy in our unit, including the indications for and morbidity associated with the procedure.
A retrospective cases analysis.
Records of obstetric patients who had undergone emergency hysterectomies in between 15 October 1993 and 31 December 1997 were reviewed retrospectively.
There were 15,474 deliveries and 7 emergency obstetric hysterectomies. All cases had total abdominal hysterectomy. The indications for hysterectomy were uterine atony and placental disorders. There were one case of urinary bladder injury and 2 cases of disseminated intravascular coagulopathy. There was no maternal mortality.
Emergency obstetric hysterectomy remains a potentially life-saving procedure in unavoidable catastrophe. The 7 patients with life threatening postpartum haemorrhage underwent hysterectomy after failure of conservative measures. The morbidity is low and there was no mortality in this series.
回顾我院产科急症子宫切除术，包括该手术的适应证及相关发病率。
回顾性病例分析。
回顾性分析1993年10月15日至1997年12月31日期间接受急症子宫切除术的产科患者记录。
共15474例分娩，其中7例行产科急症子宫切除术。所有病例均行全腹子宫切除术。子宫切除术的适应证为宫缩乏力和胎盘疾病。发生1例膀胱损伤和2例弥散性血管内凝血。无孕产妇死亡。
产科急症子宫切除术在不可避免的灾难中仍是一项可能挽救生命的手术。7例危及生命产后出血患者在保守措施失败后接受了子宫切除术。本系列发病率低，无死亡病例。
Zotero 插件