剖宫产术产后出血相关因素分析

目的探讨剖宫产术产后出血原因和影响出血量的因素。方法对1998年1月～2008年1月我院106例剖宫产术产后出血病例进行回顾性分析。结果①主要原因子宫收缩乏力占68．9％。胎盘因素占21．7％，子宫裂伤占7．5％，其他占1．9％。②出血量〈1000ml占73．5％，1000-2000ml占20．8％，〉2000ml占5．6％。③常规止血方法成功率92．45％，官腔填纱占2.8％，子宫次全切术3.7％，子宫动脉栓塞占0．9％。结论应加强高危妊娠的管理，选择快速有效的止血方法，以减少剖宫产术产后出血的发生率。

Analysis of factors associated with primary hemorrhage after cesarean

Objective To discuss the cause of postpartum hemorrhage after cesarean section and effects of managements on its blood loss. Methods Clinical data of 106 cases of primary hemorrhage after cesarean section from1998.1 to 2008.1 were analyzed retrospectively. Results ①The causes of hemorrhage were as follows： uterine atony （ 68.9% ）,factors associated with placenta （ 21.7% ）,uterine laceration （7.5%）, others （ 1.9% ） ; ② The cases with barterial lood loss less than 1000 ml group ,in 1000-2000 ml group and in more than 2000 ml group were 73.5% 20.8% and 5.6% respectively. ③The success rate of Controlling hemorrhage with conventional method was 92.45% .The rate of uterine packing was 2.8%, cesarean hysterectomy 3.7%, transcatheter arterial embolization 0.9%. Conclusion To reduce blood loss management of high risk pregnancy should be strengthen and adopt rapid and effective methods targeting the cause of hemorrhage and reducing the rates of hemorrhage after cesarean section.