产后出血死亡9例临床分析

目的：探讨产后出血性休克的病理转归及治疗措施。方法：总结9例产后出血死亡的临床经过，回顾分析死亡原因及治疗措施。结果：产后短时间大量出血，处于严重休克，并发DIC及MSOF时，休克难以纠正。产后或手术后短时间内应用肝素治疗DIC可加剧出血。结论：失血性休克、DIC、MSOF三者的病理生理过程互为因果。快速、准确的监测方法是指导治疗的关键；及时补充血容量是治疗的基本条件；当发生DIC或保守治疗无效时，适时切除子宫以及加强监护，预防和及早治疗MSOF是抢救患者生命的重要措施。

Clinical Analysis of 9 Cases of Death Patients with Postpartum Hemorrhage

Objective:To explore the pathological outcomes and treatment measures of shock for postpartum hemorrhage.Methods:The clinical procedure is summarized for 9 cases of death patient with postpartum hemorrhage.Retrospective analysis of reason for death and treatment measures.Result:In short time severe postpartum hemorrhage bring about serious shock and begin DIC of MSOF at the same time.Correcting shock is difficulty.Heparinum intensify hemorrhage for treatment of DIC in short time after operation of postpartum.Conclusion:Pathophysiology procedure is reciprocal causation between shock,DIC and MSOF Promptly and correctly inspecting measure is the key to direct treatment.Promptly supplement blood capacity is essential condition for treatment.When occurring DIC or conservative treatment is no avail,It is aimportant measure for salvaging patient life is to undertake hysterectomy,enhance control,prevent,treat MSOF as soon as possible.