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目的:探讨产科子宫出血病理以及产科因素,确保产妇的生命安全。方法:随机选取2011年6月至2014年6月来我院治疗产科子宫出血的患者60例,经过相关检查后,确诊为产科子宫出血,并已经采用了子宫切除手术进行治疗,对所有患者的临床资料进行回顾性分析研究,寻找出现子宫出血的原因。结果:在对产科子宫出血病理的研究中,出现宫缩乏力的患者有10例,胎盘因素的患者有27例,子宫切口感染的患者有8例,其他因素的患者有15例;60例患者中出血量为500-1500m L的患者有4例,占8%,出血量为1500-2500m L的患者有14例,占23%,出血量为2500-3000m L的患者有28例,占46%,出血量为3500m L以上的患者有14例,占23%。在子宫切除的影响因素中,胎盘因素是影响子宫切除的主要因素,占53%。通过对子宫切除影响因素的分析和研究,可知如果产次越多,产后大出血的发生率会越高,也就是进行子宫切除的发生率越高。子宫切除的影响因素有剖宫产史、前置胎盘、宫缩乏力、胎盘早剥、胎盘植入等,具有显著差异性,具有统计学意义(P<0.05)。结论:通过对产科子宫出血病理以及产科因素的研究和分析,明确影响子宫切除的主要因素,从而大大降低孕妇的发病率,确保孕妇的生命安全,促进患者生活质量的提高,具有重要的临床价值和意义,值得推广和应用于临床。
Objective: To investigate the pathology of obstetric uterine bleeding and obstetric factors to ensure the safety of the mother’s life. Methods: Sixty patients with obstructive uterine bleeding who were admitted to our hospital from June 2011 to June 2014 were randomly selected. After relevant examination, they were diagnosed as obstetric uterine bleeding and had been treated by hysterectomy. All patients Retrospective analysis of clinical data to find the cause of uterine bleeding. Results: In the study of obstetric uterine bleeding pathology, there were 10 cases of uterine atony, 27 cases of placental factors, 8 cases of uterine incision infection, 15 cases of other factors; 60 cases Among the patients with 500-1500 m L of blood loss, 4 patients (8%), 14 patients (23%) with blood loss of 1500-2500 m L, 28 patients (46%) with bleeding of 2500-3000 m L %, Bleeding more than 3500m L patients in 14 cases, accounting for 23%. Among the factors of hysterectomy, placenta factors are the main factors affecting hysterectomy, accounting for 53%. Through the analysis and study on the influential factors of hysterectomy, we can see that if the more births, the incidence of postpartum hemorrhage will be higher, that is, the higher the incidence of hysterectomy. The influencing factors of hysterectomy were cesarean section history, placenta previa, uterine atony, placental abruption, placenta accreta and so on, with significant difference (P <0.05). Conclusion: Through the research and analysis of the pathology of obstetric uterine bleeding and obstetric factors, the main factors influencing the hysterectomy are clearly identified, so as to greatly reduce the incidence of pregnant women, ensure the safety of pregnant women and improve the quality of life of patients, and have important clinical value And meaning, it is worth to promote and apply to clinical.