128例产后大出血临床分析

目的：探讨产妇产后大出血的相关因素和防治措施.方法：对2005年1月～2009年6月我院收治并发生产后大出血的产妇128名进行回顾性分析,128名产妇中分为剖宫产组53名,阴道分娩组75名,比较两组产后出血量、失血性休克及行子宫切除术比例;分析128名产妇中与产后大出血相关的其他因素.结果：128名产妇中剖宫产组产后出血量、失血性休克及行子宫切除术比例大于阴道分娩组,两组数据间差异具有统计学意义（P〈0.01）;128名产妇发生产后出血的主要原因为宫缩乏力、胎盘因素及妊高症人群,分别占总数的54%,24%,7%,软产道因素和凝血功能障碍也是不可忽视的因素.结论：剖宫产手术后发生产后大出血出血量远大于经阴道分娩者,且易发生失血性休克,故应严格控制剖宫产手术适应症;子宫收缩乏力是发生产后大出血的主要原因,产妇应加强产前检查,胎盘因素及一些产科疾病也是产后大出血的高危因素,临床上应予以重视.

128 example post--natal massive hemorrhage clinical analyze

Objective： Discusses the parturient woman post--natal massive hemorrhage the correlation factor and the preventing and controlling measure. Methods： - 2009 year in June my courtyard admits and has post--natal massive hemorrhage parturient woman 128 to carry on the review analysis to January, 2005 , in 128 parturient women divides into splits the palace to produce group 53 ,vagina childbirth group 75, compared with two group of postpartum hemorrhage quantities, hemorrhage shock and good womb excision method proportion; Analyzes in 128 parturient women and the post--natal massive hemorrhage correlation other factors. Results： In 128 parturient women splits the palace to produce the group postpartum hemorrhage quantity, the hemorrhage shock and the good womb excision method proportion is bigger than the vagina childbirth group,during two groups of data the difference has statistics significance （P〈0.01） ; 128 parturient women have the postpartum hemorrhage primary cause to shrink the asthenia,the placenta factor and the pregnancy-- induced hypertension syndrome crowd for the palace, accounts for the total separately 54%, 24%,7% ,the soft birth canal factor and the hemoglutination function barrier also is the noticeable factor. Conclusion： After splits the palace to produce the surgery to have the post--natal massive hemorrhage hemorrhage quantity to be bigger than far after the vagina childbirth,also easy to have the hemorrhage shock,therefore should control strictly splits the palace to produce the surgery indication; The womb contraction asthenia has the post--natal massive hemorrhage primary cause, the parturient woman should strengthen the prenatal examination, the placenta factor and some obstetrics disease also is the post--natal massive hemorrhage high --risk factor,on clinical should give to take.