Emergency obstetric hysterectomy analysis of 23 cases.docVIP

 PAGE \* MERGEFORMAT 7 Emergency obstetric hysterectomy analysis of 23 cases [Abstract] for emergency obstetric hysterectomy understand the reasons and correct the indications, 10-year retrospective analysis of 23 cases among cases of obstetric hysterectomy clinical data. Result, 16,244 cases in 23 cases of maternal implementation of emergency obstetric hysterectomy , placenta emergency obstetric hysterectomy is a major indication. postpartum hemorrhage caused by placental factors is the main reason for hysterectomy and indications. [Keywords:] postpartum hemorrhage, hysterectomy, placental abruption Obstetric hysterectomy is the treatment of acute bleeding, life-saving maternal taken an effective treatment, to explore the causes of bleeding after pregnancy and maternity hysterectomy indication, this retrospective analysis of nearly 10 years treated in our hospital emergency obstetric hysterectomy in 23 patients with routine clinical data, are as follows. 1 Clinical data 1.1 General information January 1997 ~ December 2007, in the hospital a total of 16,244 cases of maternal birth, for various reasons, 23 cases of hysterectomy, in which mothers give birth in hospital Hysterectomy 18 cases of 0 total number of deliveries. 11%, of which 11 cases of vaginal delivery, accounting for 61.11%, cesarean section in 5 cases, accounting for 27.78 percent, medium-term induction of labor in 2 cases, accounting for 11.11%. transferred to other hospital emergency hysterectomy in 5 cases, of which 2 cases of placental abruption, uterine stroke, fetal death, 1 case of amniotic fluid embolism, DIC, fetal death, 1 case of placenta accreta postpartum hemorrhagic shock, and 1 case of postpartum uterine inertia uterine bleeding removal of pregnant women .23 Age 20 to 43 years, mean 31.5 years old. primipara and 4 (17.39%), the maternal in 19 cases (82.61%), the average 3 pregnancies, pregnancies up to 9 times the average gestational age of 37 +4 weeks (mid-term abo