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目的:分析剖宫产术术产后出血的原因,探讨剖宫产术产后出血的预防与治疗方法,以此使剖宫产术产后出血现象降低,并采取有效的方法挽救产妇的生命。方法:选取我院2013年10月~2016年10月临床中76例孕妇作为分析对象,3年中剖宫产分娩722例,自然分娩1313例,其中产后出血:自然分娩42例,剖宫产术34例,(疤痕子宫21例,头盆不称13例)(疤痕子宫:孕产次多,胎盘粘连多见;头盆不称:子宫下段水肿、裂伤可能大,出血多;)对比分析自然分娩与剖宫生产出血率,并收集剖宫产术产后出血的孕妇的临床资料及原因进行分析。结果:通过分析得知,剖宫产术产后出血的发生率为4.7%,自然分娩为3.2%,两者比较其差异显著(p<0.01)。相比于自然分娩,剖宫产本身更易于出现产后出血,主要是由于子宫收缩乏力和腹盆腔粘连及切口等因素。结论 :造成剖宫产术产后出血的主要原因有宫缩乏力、腹盆腔粘连及切口、胎盘因素以及凝血功能障碍等。因此在临床中采取有效措施防治孕产妇大出血十分重要,以此为保证产妇的生命安全奠定良好的基础。
Objective: To analyze the causes of cesarean section postpartum hemorrhage and to explore the prevention and treatment of postpartum hemorrhage in cesarean section, in order to reduce the postpartum hemorrhage of cesarean section and to take effective measures to save the life of the mother. Methods: 76 cases of pregnant women in our hospital from October 2013 to October 2016 were selected as the analysis object. 722 cases of cesarean delivery in 3 years and 1313 cases of spontaneous labor were given. Among them, postpartum hemorrhage occurred in 42 cases of spontaneous delivery and cesarean section 34 cases of scar tissue (21 cases of uterine scar, 13 cases of head basin) (scar uterus: more pregnant women, placenta adhesion more common; head basin is not: lower edema, laceration may be large, bleeding more); contrast Analysis of natural childbirth and caesarean section production of bleeding, and to collect the clinical data and causes of postpartum hemorrhage pregnant women cesarean section analysis. Results: Through analysis, the incidence of postpartum hemorrhage in cesarean section was 4.7% and that of spontaneous delivery was 3.2%. There was significant difference between the two (p <0.01). Compared with natural childbirth, cesarean section itself is more prone to postpartum hemorrhage, mainly due to uterine atony and abdominal adhesions and incision and other factors. Conclusion: The main causes of cesarean section postpartum hemorrhage are uterine atony, abdominal adhesions and incisions, placental factors and coagulation disorders. Therefore, it is very important to take effective measures to prevent and treat maternal hemorrhage in clinic so as to lay a good foundation for ensuring the safety of maternal life.