McNulty J V
Am J Obstet Gynecol. 1984 May 1;149(1):29-30. doi: 10.1016/0002-9378(84)90287-4.
A review of 80 cases of planned or anticipated cesarean hysterectomies done at major centers in the greater Los Angeles area is presented. There were no deaths and five cases of morbidity. Nineteen percent, or one of five cases, required blood transfusions. According to the recommendation of the American Association of Blood Banks, a program of homologous blood replacement should be instituted. Cesarean hysterectomy is a formidable procedure but should not be discarded. In proper hands there are numerous advantages to the operation. Residency training programs should include the teaching of planned or anticipated cesarean hysterectomy in order that skills for the occasional emergency cesarean hysterectomy may be developed.
本文回顾了在大洛杉矶地区主要医疗中心进行的80例计划性或预期性剖宫产子宫切除术。无死亡病例，有5例出现并发症。19%，即五分之一的病例需要输血。根据美国血库协会的建议，应制定一项同种异体输血替代计划。剖宫产子宫切除术是一项艰巨的手术，但不应被摒弃。在合适的人手中，该手术有诸多优点。住院医师培训项目应包括计划性或预期性剖宫产子宫切除术的教学内容，以便培养应对偶尔出现的急诊剖宫产子宫切除术的技能。
