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目的探讨产后出血的原因,做好预防及诊治,减少产后出血发生。方法将2007年1月至2008年12月在本院住院分娩发生产后出血的106例患者临床资料进行回顾性分析。结果106例产后出血中,66例是宫缩乏力,22例是胎膜、胎盘因素,15例是软产道裂伤,3例是凝血功能异常;有人工流产史、剖宫产发生产后出血率明显升高(P<0.05);有剖宫再孕、妊高征、前置胎盘、多胎妊娠等高危因素的孕妇,发生产后出血率高(P<0.05)。结论产后出血的病因是多因素的,针对病因进行及时相应的处理,同时重视产前检查,有高危因素的孕产妇要加强管理及观察,提高医护人员的技术及提倡母乳喂养是有效降低产后出血发生率的重要措施。
Objective To investigate the causes of postpartum hemorrhage, prevent and diagnose it, and reduce the incidence of postpartum hemorrhage. Methods The clinical data of 106 patients with postpartum hemorrhage hospitalized in our hospital from January 2007 to December 2008 were analyzed retrospectively. Results 106 cases of postpartum hemorrhage, 66 cases of uterine inertia, 22 cases of fetal membranes, placental factors, 15 cases of soft birth canal laceration, coagulation disorders in 3 cases; history of artificial abortion, cesarean section postpartum hemorrhage rate (P <0.05). Pregnant women with high risk of cesarean section pregnancy, pregnancy induced hypertension, placenta previa, multiple pregnancy and so on had high postpartum hemorrhage rate (P <0.05). Conclusions The cause of postpartum hemorrhage is multifactorial. The etiological factor should be treated timely and correspondingly. At the same time, it should pay attention to prenatal examination, pregnant women with high risk factors should strengthen management and observation, improve the technique of health care workers and promote breastfeeding effectively reduce postpartum hemorrhage The incidence of important measures.