剖宫产产后出血原因及护理对策分析

目的分析产妇剖宫产产后出血的主要原因及护理对策。方法回顾性分析本院行剖宫产分娩发生产后出血产妇的64例临床资料。结果所有产后出血产妇在行护理措施后均抢救成功，出血量500～1000ml为40例，1000~2000ml为18例，2000～3000ml为5例，〉3000ml为1例。产后出血原因为子宫收缩乏力44例（68．75％）、胎盘因素10例（15．63％）、凝血功能障碍1例（1．56％）、软产道损伤9例（14．06％），差异有统计学意义（P〈0.05）。结论根据产妇特征预估产后出血量并实行针对性抢救护理干预，是降低产后出血发生率、促进产后康复的重要措施。

Analysis of cause and nursing strategy of postpartum hemorrhage after caesarean section

Objective To analyze the principal cause and nursing strategy of postpartum hemorrhage after caesarean section.Methods Clinical data of 64 puerperae with postpartum hemorrhage who accepted caesarean section in our hospital were retrospectively analyzed.Results All puerperae with postpartum hemorrhage were successfully rescued af- ter applying nursing measure. The amount of bleeding was from 500 to 1000 ml in 40 cases,from 1000 to 2000 ml in 18 cases,from 2000 to 3000 ml in 5 cases and over 3000 ml in 1 case.The cause of postpartum hemorrhage including 44 cases（68.75%）of uterine inertia,10 cases （15.63%）of placental factor,1 case（1.56%）of coagulation disorder and 9 cas- es（14.06%）of soft birth canal injury,with statistical difference （P〈0.05）.Conclusion It is an important measure to evalu- ate amount of postpartum bleeding and implement nursing interventions based on the specific condition of puerperae in order to decrease the incidence rate of postpartum hemorrhage and promote recovery after delivery.