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目的:探讨并分析我院我科近5年以来产后出血的患者出血原因,为以后的临床工作给予指导,增强年轻医师的临床经验。方法:选择我院自2005年1月～2012年5月在我科自然分娩(非剖宫产)后发生急性产后出血的患者l56倒,回顾性分析导致产后出血的根本原因,进一步对产后出血分析、总结。结果:对选择的产后出血156例患者按照出血的原因细分如下:子宫因素(收缩性极差)患者124例,占出血患者总人数的79.5%;胎盘因素(滞留)患者24例,占出血患者总人数的15.4%;胎盘胎膜残留2例,占出血患者总人数的12.56%;软产道裂伤1例患者,占出血患者总人数的1.28%;子宫内翻1例,占1.3%。结论:从近5年的产后出血统计可知,宫缩乏力是导致产后出血的主要诱因,所以在临床上降低产后出血的发生率,必须针对出血的病因对症处理,总结经验,为以后产后出血的临床应急处理提供依据。
Objective: To investigate and analyze the cause of bleeding in patients with postpartum hemorrhage in our hospital in recent 5 years, to provide guidance for future clinical work and to enhance the clinical experience of young physicians. Methods: Choose our hospital from January 2005 to May 2012 in our department after natural delivery (non-cesarean section) acute postpartum hemorrhage in patients with l56 down retrospective analysis of the root causes of postpartum hemorrhage, and further postpartum hemorrhage analysis Summary. Results: 156 cases of selected postpartum hemorrhage were divided according to the causes of bleeding: 124 cases of uterine factors (very poor systolic), accounting for 79.5% of the total number of bleeding patients; 24 cases of placental factors (retention), accounting for bleeding 15.4% of the total number of patients; 2 cases of residual fetal membranes, accounting for 12.56% of the total number of bleeding patients; 1 case of soft birth canal laceration, accounting for 1.28% of the total number of patients with bleeding; Conclusion: According to the statistics of postpartum hemorrhage in the past 5 years, uterine inertia is the main cause of postpartum hemorrhage. Therefore, in order to reduce the incidence of postpartum hemorrhage clinically, hemorrhagic etiology must be treated symptomatically and summing up the experience for postpartum hemorrhage Provide basis for clinical emergency treatment.