产后出血临床相关因素分析

目的：探讨引起产后出血的原因及防治措施。方法：回顾性分析80例产后出血患者的病因及处理。结果：产后出血主要原因为宫缩乏力（87.50%）、胎盘胎膜残留（7.50%）、组织裂伤（5.00%）,且多发生在24h内。结论：重点在产时、产后24h内加强监测,及时有效预防宫缩乏力是减少出血的根本。产前进行有关分娩知识的教育,产生过程中对并发症进行有效预防,治疗上积极促进宫缩为主,同时抗休克治疗,清宫及缝合伤口止血。

Clinical analysis of postpartum hemorrhage

Objective:To investigate the cause,diagnosis and treamtment of postpartum hemorrhage. Methods: Cause and treatment of 80 postpartum hemorrhage patients were retrospectively analyzed. Results: Uterine atony was the most common cause of postpartum hemorrhage (87.50%),retained placental fragments led to 7.50% of postpartum hemorrhage and 5.00% cases were due to trauma in gentital tract. Most of postpartum hemorrhage occurred whithin 24 hours after delivery. Conclusion: Surveillance,timely and effective prevention of uterine inertia are the key measurements to deal with postpartum hemorrhage during the course of delivery and within 24 hours after delivery. Prenatal education and effective treatments to complications are also very important. Treatments should focus on promotiing uterine contraction,prevention of shock,and sewing up genital trauma to stop bleeding.