【摘要】 目的 分析产科急症子宫切除术在抢救产科大出血中的应用价值。方法 回顾分析15年间61例行产科急症子宫切除术中的病例。结果 61例患者因产科大出血行产科急症子宫切除术。胎盘因素是产科急症子宫切除术的主要指征，其它因素依次为宫缩乏力、DIC、子宫破裂、晚期产后出血、子宫肌瘤、宫腔感染。61例中无一例产妇死亡。结论 产科急症子宫切除术是治疗急性产科大出血的有效措施之一。

    【关键词】 产科；子宫切除术；急症

    Clinical analysis of 61 cases with emergency hysterectomy

    LI Jingzhen TIAN Ailing ZHANG Lingling

    People' Hospital of Huantai County ,256400

    【Abstract】 Objective To investigate the value of emergency hysterectomy in arresting severe postpartum hemorrhage.Methods A retrospective study was performed on 61 cases of hysterectomy from January 1990 to December 2004.Results 61 cases of emergency hysterectomy had been done.Placental disorder was the main indication of emergency hysterectomy.The others in proper order were uterine atony,uterine rupture,late pueroperal hemorrhage,myoma of uterus and infection of uterus.None of the 61 cases died.Conclusion Emergency hysterectomy is one of the effective methods for arresting severe postpartum hemorrhage.

    【Key words】 obstetrics,hysterectomy,emergencies

    产科急症子宫切除术是治疗产科大出血、抢救孕产妇生命的一项重要措施和手段[1] ......