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目的分析产后出血的原因,以及合理治疗,预防产后出血,降低孕产妇死亡率。方法对所发生的124例产后出血进行回顾性分析。结果发生产后出血原因中,宫缩乏力77例,占62%,胎盘因素32例,占25.81%,软产道5例,占4.03%,凝血功能障碍10例,占8.06%,分娩方式与产后出血关系密切。结论宫缩乏力是导致产后出血的首要原因,胎盘因素成为产后出血的次要原因。严密观察产程,分析产后出血的原因并加以预防,降低剖宫产率对降低产后出血及孕产妇死亡起关键作用。
Objective To analyze the causes of postpartum hemorrhage, as well as reasonable treatment to prevent postpartum hemorrhage and reduce maternal mortality. Methods 124 postpartum hemorrhages were retrospectively analyzed. Results Among the causes of postpartum hemorrhage, there were 77 cases of uterine atony (62%), 32 cases of placenta (25.81%), 5 cases of soft birth canal (4.03%), coagulation disorders (10 cases), accounting for 8.06%. The mode of delivery and postpartum hemorrhage Close relationship. Conclusions Uterine atony is the leading cause of postpartum hemorrhage. Placental factors have become the secondary cause of postpartum hemorrhage. Close observation of labor, analysis of the causes of postpartum hemorrhage and prevention, reduce the rate of cesarean section to reduce postpartum hemorrhage and maternal mortality play a key role.