产后出血200例临床分析

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。方法对200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20例行手术止血的病人进行原因分析。结果180（90.0%）例患者经保守治疗获得满意的止血效果,但是有30（15.0%）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25例,因子宫因素及产妇因素造成大出血的各6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。

In different ways the clinical analysis of 200 cases of postpartum hemrrhage

Objective To investigate the treatment ofpostpartum hemorrhage and causes that led to surgical treatment. Methods 200 patients who underwent postpartum hemorrhage were retrospectively studied the treatment methods, the curative effect and the predominant factors that resulted in surgical treatment in 30 patients. Results There were 180（90.0%）patients with conservative treatment received satisfactory effect, and 30（15.0%）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 25, 3 and 6 respectively. Conclusion Conservative treatment methods are effective to overwhelming majority of patients with postpartum hemorrhage, only a minority of them need surgical treatmem, whose hemorrhage hemorrhage mainly result from placenta factor, followed by Parturient factor.