Severe Delayed Postpartum Hemorrhage Following Cesarean Section

剖腹產後延遲性產後大出血

尹長生(Chang-Sheng Yin) ； 李耀泰(Yao-Tai Lee) ； 詹景全(Chying-Chyuan Chan) ； 候廣瓊(Guan-Qeo Hou) ； 呂正祥(Jiam-Shun Liou)

《慈濟醫學雜誌》 11卷1期 (1999/03) Pp. 93-96

https://doi.org/10.6440/TZUCMJ.199903.0093

摘要

剖腹產後之延遲性產後大出血是一極為罕見之案例，大約發生率在1/9071至1/15792間，子宮切口部感染後引起創口血管出血是可能的原因，國內報告之案例均無致病菌發現。本院有一29歲孕婦在玉里難產後行剖腹產，五天後腹部傷口發炎二十八天後陰道大出血頻於休克，轉來後行緊急無效，行子宮切除挽回生命。我們建議剖腹產時在有感染因素高之孕婦如難產者可行預防性抗生素，可以避免此少見之大出血。

關鍵字

剖腹產 ； 延遲性產後出血 ； 傷口感染

並列摘要

Delayed postpartum hemorrhage following cesarean section is a rare and life-threatening obstetric complication. Previous reports demonstrated that infection at the uterine incisional wound could unexpectedly lead to active bleeding. We present a case of severe delayed postpartum hemorrhage 28 days after cesarean delivery followed by an abdominal wound inflection. After emergent management such as: intrauterine gauze packing dilatation and cuettage were failed, a subtotal hysterectomy was required to save the patient.

並列關鍵字

cesarean section ； delayed postpartam hemorrhage ； wound infection