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Effect of transverse circular suture of uterus combined with romethamine for treating hemorrhage during cesarean section |
The Second Affiliated Hospital of Guangzhou Medical University , Guangzhou, Guangdong Province, 510260 |
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Abstract Objective: To investigate the effect of transverse uterine circular bundling suture combined with romethamine for treating hemorrhage during cesarean section. Methods: 160 pregnant women who wanted cesarean section were divided randomly in observation group and control group (80 cases in each group) from January 2018 to December 2018. The women in the observation group were given transverse uterine circular bundling suture combined with romethamine for treating hemorrhage during cesarean section, and the women in the control group were given routine treatment. The amount of bleeding during operation of women during cesarean section, and the incidence of postpartum hemorrhage 2 hours and 24 hours after operation were recorded and compared between the two groups. Results: The intraoperative hemorrhage volume, hemorrhage volume postpartum 2h , and hemorrhage volume postpartum 24h of women in the observation group were 157.3±28.9ml, 208.2±50.8ml, and 310.5±60.2ml, respectively, which were significant higher than those (183.7±27.9ml, 357.5±52.2ml, 448.6±75.5ml, respectively) of women in the control group. The incidence of postpartum hemorrhage of women in the observation group was 16.3% (13/80), which was significant lower than that (36.3%, 29/80) of women in the control group (all P<0.05). There were 3 women with postoperative fever in the observation group and 5 cases in the control group, but all of them had been cured by antibiotics without reoperation, intussusception, or related puerperal complications, and their abdominal incision were healed withⅠlevel, and they all were hospital discharge on schedule. Conclusion: Uterine transverse circular bundling suture combined with romethamine is a simple, safety, effective, and rapid stopped bleeding without special requirements for surgical instruments and equipment, which can control hemorrhage caused by uterine inertia during or after cesarean section.
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