产后出血115例原因分析及护理

目的探讨产后出血的发生原因、预防与护理措施。方法运用回顾性研究的方法对我院妇产科自2004年6月至2007年6月115例产后出血患者的临床资料进行综合分析，探讨其发生原因、预防及护理措施。结果产后出血的发生率为2．20％。引起产后出血的主要原因是子宫收缩乏力（71．30％），其次是胎盘因素（16．52％）、凝血功能障碍（7．83％）及软产道撕裂（4．35％）。结论对易引起产后出血的高危因素、高危人群应高度重视，预防在先，加强产前保健及产程观察及产后监护，对已发生产后出血者采取积极有效的治疗措施，加强护理，促进康复。

Reason Analysis and Nursing of 115 Cases of Postpartum Hemorrhage

Objective To discuss the causes,prevention and nursing measures of postpartum hemorrhage.Methods The clinic data of 115 patients with postpartum hemorrhage between Jun.2004 and Jun.2007 in Department of Obstetrics and Gynecology in our hospital were retrospectively analyzed.The causes,prevention and nursing measures were discussed.Results The incidence of postpartum hemorrhage was 2.20%.The main causes of postpartum hemorrhage included uterine contraction(71.30%),placenta factors(16.52%),bleeding and coagulation dysfunction(7.83%),and injuries of soft birth canal(4.35%).Conclusion More attention should be paid to the high risk factors and high-risk subjects;measures of prevention should be carried out in advance and health care should be enhanced before labor and monitoring should be enhanced after labor.Active measures should be taken when hemorrhage occurs;and nursing care should be enhanced to ensure a better prognosis.