产后出血147例的救治与临床分析

目的:探讨产后大出血的治疗及产后大出血需手术的主要原因分析。方法:对147例产后大出血的病人进行回顾性分析,总结治疗方法及疗效;并对21例行手术止血的病人进行原因分析。结果:126(85.71%)例患者经保守治疗获得满意的止血效果,但是有21(14.29%)例因保守治疗无效或效果欠佳最终进行了手术止血治疗,其中因胎盘因素造成大出血的占15例,因子宫因素及产妇因素造成大出血的各3例。结论:产后大出血绝大多数可经保守治疗获得满意疗效,有少部分需手术治疗,这部分病人主要是因胎盘因素导致大出血,其次是产妇因素。

The clinical analysis of 147 cases of Postpartum Hemorrhage

Objective: To investigate the treatment of postpartum hemorrhage and causes that led to surgical treatment.Methods:147 patients who underwent postpartum hemorrhage were retrospectively studied the treatment methods,the curative effect and the predominant factors that resulted in surgical treatment in 21 patients.Results:There were 126(85.71%)patients with conservative treatment received satisfactory effect,and 21(14.29%)patients who were ineffective to conservative treatment had to accept surgical treatment.The cases of postpartum hemorrhage because of placenta factor,vomb factor and Parturient factor were 15,3 and 3 respectively.Conclusion:Conservative treatment methods are effective to overwhelming majority of patients with postpartum hemorrhage,only a minority of them need surgical treatment,whose hemorrhage hemorrhage mainly result from placenta factor,followed by Parturient factor.