Al-Sibai M H, Rahman J, Rahman M S, Butalack F
Department of Obstetrics and Gynaecology, King Faisal University, Dammam, Saudi Arabia.
Aust N Z J Obstet Gynaecol. 1987 Aug;27(3):180-4. doi: 10.1111/j.1479-828x.1987.tb00982.x.
A series of 117 cases of emergency obstetric hysterectomy performed between 1976 and 1985 is reviewed. The indications included ruptured uterus (53.8%), intractable postpartum haemorrhage (20.5%), placenta accreta (7.7%), major degree of placenta praevia (7.7%), haemorrhage at Caesarean section (4.5%), couvelaire uterus (3.4%) and abdominal pregnancy (2.6%). Despite a general aversion to hysterectomy by the women in our society, these procedures were undertaken in a desperate attempt to save life. There were 6 (5.1%) maternal deaths, all due to the severity of the indication for the hysterectomy. Presence of an experienced obstetrician is important to make an early decision to operate before the patient's condition is extreme and to provide the technical skills required to minimize morbidity and mortality.
回顾了1976年至1985年间进行的117例产科急症子宫切除术病例。手术指征包括子宫破裂（53.8%）、难治性产后出血（20.5%）、胎盘植入（7.7%）、重度前置胎盘（7.7%）、剖宫产时出血（4.5%）、子宫卒中（3.4%）和腹腔妊娠（2.6%）。尽管我们社会中的女性普遍反感子宫切除术，但为了挽救生命还是不顾一切地进行了这些手术。有6例（5.1%）产妇死亡，均归因于子宫切除术指征的严重性。有经验的产科医生在场对于在患者病情尚未极其严重之前尽早做出手术决定以及提供将发病率和死亡率降至最低所需的技术技能非常重要。
