Late on uterine hemorrhage after cesarean section in 12 cases.docVIP

 PAGE \* MERGEFORMAT 9 Late on uterine hemorrhage after cesarean section in 12 cases [Keywords:] advanced uterine hemorrhage during cesarean section Cesarean childbirth and pregnancy complications to resolve, an important means to rescue the fetus. Caesarean section rate increased gradually in recent years, although the level of surgical techniques and anesthetic advances, but surgical complications remain a serious threat to the lives of mothers. Caesarean produced late after onset of occult blood in the uterine cavity, if not detected and removed, can cause postpartum hemorrhage, leading to serious consequences. In this paper, 12 cases of uterine hemorrhage after cesarean section cases of advanced processing and analysis as follows. Subjects and methods 1. Target: January 2004 ~ October 2009 after caesarean section in our hospital 12 patients with advanced uterine hemorrhage, aged 20 to 37 years old, 36 to 42 weeks gestational age, gravidity 1 to 4 times . 2. Intrauterine blood in the diagnostic criteria: 24 ~ 72 h post-house at the end there is increased with increased vaginal bleeding, bright red blood clots; postpartum 7 weeks postpartum 72 h to lochia reduce or stop a few days later and an increase in vaginal bleeding, with abdominal falling bulge is not inflation or anus. gynecological examination cervix loose, can accommodate 1 or 2 fingers, or palpable blood clots, enlarged uterus, tenderness. B-ultrasound enlarged uterus, intrauterine visible area such as echo echo or slightly stronger. 3. Treatment: All patients were treated with uterine contractions to help the program (10 IU oxytocin intramuscularly, orally with 200 μg of misoprostol every 8 h 1 times), in a timely manner curettage. And their families before surgery communication. occurred in those 24 ~ 72 h after surgery, contraction in the use of aid programs, and massage fundus, observe whether the blood clots and vaginal bleeding with or without discharge decreased, the palace