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目的探讨晚期产后大出血的病因及防治措施。方法对我院近年来收治的28例晚期产后大出血病例进行回顾性分析。结果晚期产后大出血的主要病因是胎盘胎膜及蜕膜残留、子宫复旧不良、产褥感染及剖宫产子宫切口裂开血肿等,临床根据患者病情行药物保守治疗、清宫术、髂内动脉结扎术、次子宫或全子宫切除术治疗后均痊愈出院。结论重视预防,及时诊断并正确处理,可降低晚期产后大出血的发生率。
Objective To investigate the etiology and prevention and treatment of late postpartum hemorrhage. Methods 28 cases of late postpartum hemorrhage admitted in our hospital in recent years were retrospectively analyzed. Results The main causes of postpartum hemorrhage were residual placental membranes and decidua, uterine involution, puerperal infection and cesarean section incision hematoma, clinical conservative treatment according to the patient’s condition, curettage, ligation of the internal iliac artery Surgery, sub-uterine or hysterectomy were cured after treatment. Conclusion The emphasis on prevention, timely diagnosis and correct treatment can reduce the incidence of late postpartum hemorrhage.