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1、改良B-Lynch缝合术联合欣母沛治疗剖宫产术中难治性出血的临床观察［摘要］目的：探讨改良B-Lynch缝合术联合欣母沛治疗剖宫产术中难治性出血的临床效果。方法：选择2006年3月〜2011年3月剖宫产术中难治性岀血产妇60例，将其随机分为对照组和观察组，每组30例。对照组采用传统综合治疗措施，观察组采用改良B-Lynch缝合术联合欣母沛治疗，观察两组的手术时间、术中出血量、治疗效果和产褥发生率。结果：观察组手术时间、术中出血量、产褥感染发生率分别是(69.87±12.73)min>(821.62±234.58)ml>
2、13.33%,明显少于对照组的(82.46±14.54)min、(1057.84±314.56)mk26.67%,差异有统计学意义(PV0.05)；观察组有效率为100.00%,明显高于对照组的93.33%,差异有统计学意义(P<0.05)o结论：改良B-Lynch缝合术联合欣母沛是治疗剖宫产术中难治性出血的有效方法。［关键词］改良B-Lynch缝合术；欣母沛；难治性出血；剖宫产；临床效果［中图分类号］R719.8［文献标识码］B［文章编号］1673-7210(2011)12(a)-155-02Clinicalobse
3、rvationofimprovedB-lynchsuturecombinedwithHemabateforintractablepostpartumhemorrhageincesareansectionLUMingxia,ZHUYulianDepartmentofObstetrics,JiangyinHospitalAffiliatedtoMedicalCollegeofSoutheastUniversity,JiangsuProvinee,Jiangyin214400,China[Abstract]Objective
4、:ToinvestigatethecurativeeffectsonimprovedB・lynchsuturecombinedwithHemabateonintractablepostpartumhemorrhageincesareansection.Methods:60casesofrefractorybleedingincesareansectionmothersselectedfromMarch2006toMarch2011wererandomlydividedintocontrolgroupandobserva
5、tiongroup,with30casesineachgroup・Comprehensivetreatmentsusingtraditionalmeasureswerecarriedoutincontrolgroup,theobservationgroupreceivedimprovedB・lynchsuturecombinedwithHemabate・Operationaltime,bloodlossandtheincideneeofpuerperalwereobservedintwogroups・Results:T
6、heoperativetime,bloodlossandthepuerperalrateinobservationgroupwere(69.87±12.73)min,(821.62±234.58)mland13.33%,whichweresignificantlylessthanthose[(82.46±14.54)min,(1057.84+314.56)ml,26.67%)]incontrolgroup,thedifferencesweresignificant(P<0.05).Theclinicalefficacy
7、was100.00%inobservationgroup,whichwassignificantlyhigherthanthat(93.33%)incontrolgroup(P<0.05).Conclusion:TheimprovedBJynchsuturecombinedwithHemabateisaneffectivewaytotreatrefractorybleedingincesareansection.[Keywords]ImprovedB-lynchsuture;Hemabate;Intractablepo
8、stpartumhemorrhage;Cesareansection;Clinicaleffect难治性出血是剖宫产术中的严重并发症，是产妇产后死亡的主要原因，若处理不当，可导致子宫切除甚至威胁产妇生命安全⑴。传统治疗方法及时采取宫缩剂、宫腔纱布填塞、温热纱布垫热敷等措施常能取得令人满意的临床效果[2-3],但笔者采用改良B-Ly
