剖宫产术后出血的特点及临床分析

目的:了解剖宫产术后出血的规律及临床特点。方法:对432例剖宫产与阴道产发生产后出血(包括晚期出血)的产妇资料进行分析,比较出血量、出血时间及其它相关因素。结果:剖宫产产后出血及休克的发生率、出血量均明显高于阴道产(P<0.01);在晚期产后出血中,两者之间比较无显著差异。晚期产后出血多发生于产后第3周(71.1％)。结论:剖宫产较阴道产更易发生产后出血,而且出血量多。为减少剖宫产产后出血,严格手术操作、术中仔细检查胎盘、清理宫腔、加强术后观察是减少产后出血的关键。

Characteristics and clinical analysis of postpartum hemorrhage after cesarean section

Objective: To explore the regularity and Clinical characteristics of postpartum hemorrhage after cesarean section. Methods: The date of postpartum hemorrhage after cesarean section, including amount, time and other related facters were compared with those of postpartum hemorrhage after through vagina. Results:The mortality and amount of postpartum hemorrhage were apparently higher than those of vagina 1 delivery (P<0. 01) . There was no significant difference in late postpartum hemorrhage between them. Most cases (71.1%) had hemorrhage over three weeks after delivery. Conclusion: Postpartum hemorrhage after cesarean section occurred more than after vagina 1 delivery and the amount was higher. therefore, The key point to decrease postpartum hemorrhage is to decrease cesarean sections, stricter surgical operation, check the placenta carefully, clean the uterine and strengthen observation after surgery.