产后出血60例临床分析

目的探讨产后出血发生的原因及处理方法。 方法对60例产后出血发生的原因及处理方法进行临床分析。 结果在60例分娩方式中，剖宫产是引起产后出血的最大诱因，本组共35例（58．3％），其次是在家中分娩后胎盘未娩出而引起的出血，本组共15例（25．0％）。60例出血原因为：宫缩乏力45例（75．0％），胎盘因素11例（18．3％），软产道损伤4例（6．7％）。 结论严格掌握剖宫产指征，降低剖宫产率，强调入院分娩，做好产妇分娩时的每一个环节，对于减少产后出血的发生具有重要意义。

Clinical analysis of postpartum hemorrhage——A report of 60 cases

Aim To explore the causes of postpartum hemorrhage and the treatment.
Methods The causes and treatment of 60 cases with postpartum hemorrhage were analyzed.
Results Among the 60 cases, the biggest inducement of postpartum hemorrhage was cesarean section. There were 35 cases （58.3%） in this group. 15 cases （25. 0% ） in this group suffered postpartum hemorrhage because of non-placental expulsion after delivery at home. The causes of postpartum hemorrhage were as follows： uterine dysfunction, 45 cases （ 75. 0% ）, placenta, 11 cases （18.3%） and soft birth canal injury, 4 cases （6. 7% ） .
Conclusion It is of great significance in decreasing postpartum hemorrhage to master strictly the indication of cesarean section, emphasize delivery in hospital and pay attention to every stage of delivery.