About B Lynch uterine suture in cesarean section clinical application of bleeding.docVIP

 PAGE \* MERGEFORMAT 8 About B Lynch uterine suture in cesarean section clinical application of bleeding [Keywords:] B  Lynch uterine bleeding during cesarean section clinical application of suture In recent years, due to the precious children and some do not want to maternal vaginal delivery requirements of a potential cesarean section and other social factors, cesarean section rate increased year by year, and split the processing capacity of intraoperative bleeding has been seen as intractable problems. Postpartum hemorrhage is harmful to maternal health and major diseases, but also the main causes of maternal mortality. caesarean section when vaginal delivery was more than bleeding, the U.S. statistical difference in different mode of delivery blood loss, vaginal delivery, the average 5 00 ml, caesarean production technique of about 1 000 ml, cesarean section postpartum hemorrhage rate as high as 40% to 50%, which caused bleeding due to uterine inertia more than 80% [1], to massage the uterus in the past, applications uterotonics, Palace cavity packing gauze, oppression uterine artery, ascending branch of uterine artery ligation and other methods are beyond the control of bleeding, the maternal life-saving, multi-line hysterectomy surgery, which not only the permanent loss of reproductive function in patients, but also serious psychological trauma, also easily lead to medical disputes. the Court of hemorrhage in cesarean section patients with B Lynch uterine suture treatment, to obtain satisfactory results, are as follows. Subjects and methods 1. Target: May 2008 to 12 months in the hospital cesarean section appears difficult to control the bleeding, blood loss bigger than 500 ml, use of oxytocin and uterine massage techniques, hot saline gauze cover the uterus, palace cavity misoprostol 600 mg were ineffective, line B Lynch suture in 18 patients. The average age of 28.6 years, mean gestational age 39 weeks, of which 6 cases were primipara, the