223例产后出血原因分析

目的：探讨引起产后出血的临床原因。方法：回顾性分析本院223例产后出血患者的临床资料,分析其产后出血发生的原因及处理措施,进一步探讨防治产后出血的有效方案。结果：本院5年内平均产后出血发生率为1.5%。其中宫缩乏力占65.92%,软产道损伤占20.63%,胎盘因素占12.56%,凝血功能异常占0.90%,阴道分娩与剖宫产后产后出血率比较差异无统计学意义。结论：引起产后出血的主要原因是宫缩乏力,胎盘因素（胎盘粘连、胎盘植入）及软产道损伤,阴道分娩与剖宫产产后出血发生率无明显差别。

The analysis on the cause of 223 cases of postpartum hemorrhage

Objective： To study the cause of postpartum hemorrhage. Methods： The clinical data of 223 cases with postpartum hemorrhage in our hospital were retrospectively analyzed, the treatment measures and cause of postpartum hemorrhage were analyzed, and the effective method of prevention and treatment was further studied. Results： The average 5-year rate of postpartum hemorrhage in our hospital was 1.5%, the rate of uterine inertia was 65.92%, the rate of soft birth canal injury was 20.18%, the rate of placenta was 13.00%, the rate of coagulopathy was 0.9%, there were no significant differences between the rates of vaginal delivery and cesarean section. Conclusion： The main factors of causing the postpartum hemorrhage are uterine inertia, placenta（placenta accrete, placenta implantation） and soft birth canal injury, the postpartum hemorrhage rate of vaginal delivery and cesarean section has no significant differences.