About 26 cases of obstetric hysterectomy.docVIP

 PAGE \* MERGEFORMAT 6 About 26 cases of obstetric hysterectomy [Keywords:] obstetric hysterectomy Obstetric hysterectomy is the treatment of severe obstetric hemorrhage, life-saving maternal important therapeutic measures. In this paper, our hospital from January 2005 to June 2008 between the obstetric hysterectomy following is an analysis of 26 cases for review. Clinical data 1. General: January 2005 to June 2008 in our hospital emergency hysterectomy for obstetric hemorrhage in 26 cases, patients aged 21 to 37 years old, average 30.5 years old. Gestational age 29 weeks to 41 weeks +1 +1 (lt; 37 weeks 4 cases). The maternal in 15 cases, 11 cases of primipara. pregnant 1 in 5 cases, pregnant 2 or 3 times in 14 patients, pregnant more than 4 times in 7 cases (1 case of pregnancy 7, and a profile Palace production history); the history of cesarean section in 6 cases (1 case of cesarean section for the first 3). Into the surgical intensive care unit after surgery (surgical Intensive care unit, SICU) in 20 patients. 2. Mode of delivery: cesarean hysterectomy while 16 cases (2 cases of placental abruption, the uterus contains the stroke), cesarean section 12 h after re-laparotomy in 6 cases, 2 cases of vaginal delivery were at 3 h, 6 h bleeding and disseminated intravascular coagulation (DIC), late postpartum hemorrhage (2nd cesarean section 13 d) 1 case. vaginal delivery 24 h after implantation and to see the placenta with severe perforation, infection in 1 case. 3. Indications of cesarean section: This group, 22 cases of cesarean section, uterine scar in 6 patients (including 4 cases of placenta previa combined), 4 cases of central placenta previa, hepatitis C and thrombocytopenia, pregnancy intrahepatic deposition disease and vulvar varicose veins, and 1 case of large children, twin pregnancy, placental abruption, severe preeclampsia in 2 cases, 3 cases of social factors. 4. Hysterectomy indications: placenta accreta and uterine atony bleed