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題 名 | Emergency Peripartum Hysterectomy--Seven Years Experience=週產期緊急子宮切除--七年經驗回顧 |
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作 者 | 許耀仁; 張旭陽; | 書刊名 | 中華民國婦產科醫學會會刊雜誌 |
卷 期 | 37:2 1998.06[民87.06] |
頁 次 | 頁57-61 |
分類號 | 417.37 |
關鍵詞 | 週產期緊急子宮切除; 植入性胎盤; 子宮破裂; 胎盤早期剝離; 子宮無力; Peripartum hysterectomy; Placenta accreta; Uterine rupture; Abruptio placentae; Uterine atony; |
語 文 | 英文(English) |
中文摘要 | 目的: 本文研究之目的是想瞭解週產期緊急子宮切除手術的危險因子、合併症 、和預後。 方法:本文回顧本院自民國 79 年 1 月至 85 年 12 月所有接受週產期緊急子 宮切除手術之病例。所有週產期緊急子宮切除手術之病例都是在為了救命情況下所施行的步 驟,而非事先安排。結果:七年間本院共有十例週產期緊急子宮切除手術之病例,發生率為 0.4/1000。週產期緊急子宮切除手術之適應症為植入性胎盤( 4 例),子宮破裂( 3 例) ,胎盤早期剝離( 2 例),子宮無力( 1 例)。週產期緊急子宮切除手術之術中及術後合 併症包括膀胱傷害( 2 例)、陰道斷端血腫( 1 例)和母體死亡( 1 例)。 結論:前胎 剖腹產、前置胎盤、胎盤早期剝離、子宮無力為週產期緊急子宮切除手術之危險因子。產科 界應該要有一清楚可行之計劃來處理產科大出血,以降低母體合併症及死亡率。 |
英文摘要 | Objects: The purpose of our study is to identify the risk factors, complications and outcome of emergency peripartum hysterectomy. Methods: A retrospective review and descriptive study of women who underwent emergency peripartum hysterectomy at Kaohsiung Chang Gung Memorial Hospital from January 1, 1990 to December 31, 1996 were performed. All emergency peripartum hysterectomies were unplanned and were considered by the responsible obstetrician to be a lifesaving procedure. Each patient chart was reviewed with emphasis on the risk factors, indications, complications, type of operation and outcome. Results: There were a total of 10 cases of emergency peripartum hysterectomies (incidence of 0.4/1000 births) . Indications for emergency peripartum hysterectomy were placenta accreta (n=4), uterine rupture (n=3), abruptio placentae with couvelaire uterus (n=2) and uterine atony (n=1). The intraoperative and postoperative complications of emergency peripartum hysterectomy included urinary bladder injury (n=2), cuff hematoma (n=1), and maternal death (n=1). Conclusions: Previous cesarean delivery, placenta previa, placenta accreta, abruptio placentae with couvelaire uterus, uterine atony were identified risk factors for emergency peripartum hysterectomy. There should be a clear, tested and tried protocol for dealing with massive obstetric hemorrhage to decrease the maternal morbidity and mortality. |
本系統中英文摘要資訊取自各篇刊載內容。