产后出血367例临床分析

目的: 探讨产后出血的病因及处理方法。方法: 对367例产后出血的治疗以加强子宫收缩、维持有效循环、祛除致病因素为主。结果: 产后出血的首位原因是子宫收缩乏力(209例),其次是胎盘因素及软产道裂伤。危险因素依次为手术产、巨大儿、产程延长、胎盘胎膜残留以及各种妊娠合并症。结论: 有效地防治产后出血是提高产科质量、减少孕产妇死亡的重要措施之一。

Postpartum hemorrhage:A clinical analysis of 367 cases

Objective:To investigate the etiology and the treatment of postpartum hemorrhage.Methods:Strengthening uterine contraction,keeping effective circulation and removing etiological factor were used to treat 367 women with postpartum hemorrhage in our hospital.Results:The primary reason of postpartum hemorrhage was the weakness of uterine contraction in 209 cases.The placenta factor and laceration of birth canal was the second cause.The risk factors were the caesarean delivery,the large infant,the extension of labor cause,the residue of placenta or embryolema and all kinds of pregnancy complications.Conclusions:To prevent postpartum hemorrhage is one of the important measures to improve the quality of obstetrics and reduce the mortality of pregnant and lying-in women.