剖宫产术中大出血30例分析

目的：探讨剖宫产术中大出血的原因及降低产科子宫切除率的可能性。方法：对我院30例剖宫产术中大出血患者的临床资料进行回顾性分析。结果：30例大出血中,胎盘因素占53.33%,宫缩乏力占36.67%,子宫切口裂伤出血占6.67%,羊水栓塞占3.33%。治疗结果中,子宫切除3例,占剖宫产术的0.076%（3/3935）。结论：胎盘因素、宫缩乏力是剖宫产术中大出血的主要原因。一旦发生,应针对病因迅速采取有效止血方法,可降低产科子宫切除率。

Cesarean section in the 30 cases of bleeding

Objective:To investigate the cesarean section of the reasons for the bleeding, and lower the rate of obstetric hysterectomy possibility.Methods: 30 cases in our hospital cesarean section in the clinical data of patients with hemorrhage were retrospectively analyzed.Results: In 30 cases of bleeding, placental factors accounted for 53.33%, 36.67% of the uterine atony, uterine incision bleeding laceration of 6.67%, 3.33% of the amniotic fluid embolism, hysterectomy three cases.Conclusion:Placenta, uterine atony cesarean section is the main reason for the bleeding. The event should be the cause for rapid and effective method to stop bleeding, can reduce the rate of obstetric hysterectomy.