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目的分析产后出血的原因及处理措施,探讨产后出血的预防与治疗方法。方法对周口市中心医院2001-10-2009-10 120例产后出血患者的病因及处理方法进行回顾性分析。结果产后出血原因主要是子宫收缩乏力(100例),其次是胎盘因素(12例),产道损伤(8例)。120例中,110例行药物综合治疗(包括清宫术),死亡2例;4例行子宫次全切除术后痊愈。结论产后出血的主要原因是子宫收缩乏力,其次是胎盘因素、产道损伤及凝血功能障碍;有时为多个因素同时存在,大多数产后出血病例可经药物综合治疗和清宫术治愈。在非手术治疗无效时,及时果断地选择子宫切除术是抢救患者生命的必要措施。
Objective To analyze the causes and treatment measures of postpartum hemorrhage and to explore the prevention and treatment of postpartum hemorrhage. Methods A retrospective analysis was performed on the causes and management of 120 postpartum hemorrhage patients in Zhoukou Central Hospital from October 2001 to October 2009. Results The main causes of postpartum hemorrhage were uterine atony (100 cases), followed by placenta (12 cases) and birth canal injury (8 cases). In 120 cases, 110 patients underwent comprehensive cure (including curettage) and 2 died; 4 patients recovered after subtotal hysterectomy. Conclusions The main causes of postpartum hemorrhage are uterine atony, followed by placental factors, birth canal injury and coagulation dysfunction; sometimes there are multiple factors at the same time. Most cases of postpartum hemorrhage can be cured by drug combination and curettage. In the absence of non-surgical treatment, the timely and decisive choice of hysterectomy is a necessary measure to save the lives of patients.