Traumatic intestinal injury diagnosis and treatment of 48 cases reported


i1LI, eta1. Penetra-tingabdo ~ stabwound: Ap1eaforarllore ~ ​​nservativepolicy. I ~ ury, 1989; 20:355 ~ 3597. Zhou Shuqing, Wang Biao. Diagnosis and treatment of 28 cases of intestinal rupture. Chinese Journal of Practical Surgery, 1997; 17 (1): 488. Tan poetry into, Lu Gang, Xu Zhongli. Small intestine caused by blunt traumatic rupture of 43 cases of diagnosis and treatment. Abdominal Surgery. 1997; 10:1719. Jieshou. Nutritional support in the treatment of surgical patients. Chinese Journal of Surgery. 1998; 18 (12): 709,columbia sportwear,105 cases of postpartum hemorrhage Analysis Chongqing MCH (4ooo13) Feng Lijuan PENG Jian-hua Abstract Objective: To investigate the clinical risk factors for postpartum hemorrhage and prevention measures to ensure safe motherhood. Methods: 20o0 January 1 to December 31, 2000 in Chongqing City, MCH annual Section 1991 obstetric hospital delivery records were reviewed statistics (including natural childbirth 786, 37 forceps delivery, breech birth attendants 10, 1158 were cesarean section). Results: The annual total number of 1991 cases of childbirth,MBT Schuhe günstig, postpartum hemorrhage 105 cases, the rate was 5.27%, cesarean section and other natural childbirth postpartum hemorrhage rates were 5.27% and 5.28%. Cases of severe postpartum hemorrhage occurred in cesarean section. Still top the list of causes of bleeding uterine atony,mbt schuhe, postpartum hemorrhage accounting for 65.71% of cases; of postpartum hemorrhage due to placental factors also accounted for a large proportion; uterine incision bleeding can not be ignored,abercrombie outlet, the birth canal injury accounted for 36 cases of postpartum hemorrhage .19%. Conclusion: Reasonable control cesarean section, curettage production rate as appropriate restrictions on obstetrical concern. Should pay attention to possible complications of the disease, postpartum hemorrhage, timely detection, active treatment, the proper use of oxytocin. Attention to obstetric practitioners advise the location of the placenta planting, select the appropriate uterine incision. Improve the level of surgical procedures. Keywords risk factors for postpartum hemorrhage postpartum hemorrhage prevention and control measures are common and serious obstetric complications,mbt shoes sale, maternal mortality is an important reason leading to our country. Are 105 cases of postpartum hemorrhage were retrospectively analyzed to investigate the clinical risk factors for postpartum hemorrhage and prevention measures to ensure safe motherhood. 1 Materials and Methods 1 January 2000 to December 31, 2000 in Chongqing City, MCH 1991 people obstetric hospital deliveries: natural childbirth among 786 people. 37 forceps delivery, breech birth attendants 10, 1158 were cesarean section. Standard to determine the fifth edition of postpartum hemorrhage textbook subject, the baby is delivered within 24 hours after the total amount of bleeding more than 500ml as postpartum hemorrhage. Postpartum hemorrhage occurred throughout the year by the Statistics 105 cases the incidence of 5.27%. 2 Results 2.1 General birth year of 1991 the total number of cases, 105 cases of postpartum hemorrhage occurs, the rate was 5.27%: 1158 cases in which cesarean section, postpartum hemorrhage cases, 61 cases, the rate was 5.27%; by vaginal delivery (including natural childbirth, forceps delivery, breech birth attendants) 833 cases of postpartum hemorrhage occurred in 44 cases, the rate was 5.28%. Table 2.2 1:2.3 postpartum hemorrhage line cesarean section cesarean section postpartum hemorrhage occurred in 61 cases, the indications for cesarean section decision: scar the uterus in 2 cases; amniotic fluid too small 8; pregnancy-induced hypertension in 1 case; fetal distress in 15 cases; placenta previa 13 cases; ICP2 cases; intrapartum fetal abnormalities occurred in 9 cases; breech presentation in five cases; twin in 1 case; one case of intrauterine growth retardation ; social factors in 10 cases. The indications can be individually or simultaneously present. Table 1. Vaginal delivery compared with postpartum hemorrhage causes of bleeding during cesarean section 2.4 ① placenta: placenta grown in the lower anterior wall of the uterus (marginal, partial, complete placenta previa) holes through the placenta palace chamber 9; placental edge placed in the lower uterine segment incision or incision large vessels bleeding in 25 cases; placental separation surface bleeding in 21 cases; placenta accreta in 21 cases; placenta accreta in 3 cases; placental abruption in 2 cases; Vice placenta in 2 cases; child membrane residues in 8 cases. ② 41 cases of uterine inertia. ③ tear injury in 6 cases of uterine incision, wound hematoma in 3 cases, ④ great children in 11 cases. ⑤ first delivery difficult in 8 cases. ⑥ pregnant women with uterine fibroids fibroids cystectomy in 1 case. ⑦ uterine serosal inflammatory bleeding in 1 case. These factors may exist. 2.5 The causes of bleeding after vaginal delivery ① uterine inertia in 28 cases. ② cervical laceration in 7 cases; vaginal hematoma in 21 cases; vaginal laceration in 7 cases; perineal tear injuries in 2 cases; cervical