严重产后出血的救治探讨

目的分析严重产后出血的主要原因并探讨其救治方法。方法通过对35例严重产后出血病例进行回顾性分析,总结救治方法及评价其疗效。结果严重产后出血的主要原因为：胎盘因素及宫缩乏力。其中30例严重产后出血患者经保守治疗血止,5例无效行急症子宫切除术。结论严重产后出血保守治疗绝大多数疗效满意,但对经积极保守治疗无效的严重产后出血应把握时机及时行急症子宫切除术以挽救产妇生命。

Study on the treatment of severe postpartum hemorrhage.

Objective To analyze the main causes of severe postpartum hemorrhage and study on the treatment of it. Methods To summarize the treatment methods of severe postpartum hemorrhage and evaluate its curative effect by clinical analysis of 35 cases. Results The main causes of severe postpartum hemorrhage are placenta factor and uterine atony. There are 30 patients with conservative treatment received hemostasis, and 5 patients who were ineffective to conservative treatment had to receive emergency hysterectomy. Conclusion The overwhelming majority of severe postpartum hemorrhage with conservative treatment received satisfactory curative effect. However, for those patients who didn抰 improve after conservative treatment of severe postpartum hemorrhage, emergency hysterectomy should be operated to save their lives.