268例产后出血的临床观察

目的做好产后出血的预防、监测、抢救工作，提高产后出血抢救的成功率，降低孕产妇死亡率。方法对我院2004年1月至2006年1月住院268例产后出血临床资料作回顾性分析。结果子宫收缩乏力是产后出血的主要原因，占产后出血的79．85％，其次为胎盘因素、软产道损伤。结论减少产后出血的发生，重在预防。根据产妇不同的产时情况，制定针对性的预防方案，有效预防产后出血。诊断及时、有效的综合救治是减少甚至避免孕产妇死亡的关键。

Analysis of 268 cases with postpartum hemorrhage

Objective Do better in precaution,monitoring and salvage of PPH,improve the success ratio of PPH-rescuing,degrade maternal mortality rate.Methods Retrospective analyses on 268 clinical instances of PPH from January 2004 to January 2006.Results Uterine contraction is the main reason of PPH,account 79.85%,the next is cake uterine factor and soft birth canal damage.Conclusion To reduce PPH,prevention is most important.To effectively prevent PPH,directive precaution scheme should be made according to the each step condition of accouchement.Prompt diagnosis,effective remedy are the critical measures to diminish and avoid maternal death.