产后出血317例临床分析

为探讨产后出血的相关因素及防治措施 ,回顾分析了 1 986年 1月至 1 999年 6月收治的 31 7例产后出血病例。发现 :同期产后出血的发病率为 1 .53%。宫缩乏力是产后出血最主要的原因 ,占 53.31 %。剖宫产产后出血的发病率为 2 .4 1 % ,显著高于阴道产的 1 .1 5% (P <0 .0 1 )。 87.7%的产后出血发生于产后 2h内 ,胎盘因素所致的产后出血常导致严重后果。结果提示 :减少宫缩乏力的发生和降低剖宫产率是降低产后出血发病率的关键 ,产后 2h是产后出血不容忽视的阶段

The Clinical Analysis of 317 Cases of Postpartum Hemorrhage

To investigate correlative factor and prevention and treatment of postpartum hemorrhage, 317 cases of postpartum hemorrhage were reviewed. The incidence of postpartum hemorrhage , during January , 1986 to June , 1999 ,were 1.53%(317/20 768). The chief reason of postpartum hemorrhage was uterine inertia, taking up 53.31%(169/317). The incidence that caesarean section occurred postpartum hemorrhage were 2.41%(151/6 278) of the cases, which was higher than vaginal delivery( P <0.01). Conclusion: Reducing the uterone inertia and caesarean seclion is the key to reduce the incidence of postpartum hemorrhage.