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目的探讨产后出血的原因、治疗方法以及预防措施。方法回顾性分析75例产后出血患者的临床资料。结果子宫收缩乏力50例,占66.7%;胎盘因素10例,占13.3%;产道损伤6例,占8%;凝血功能障碍4例,占5.3%;其他5例,占6.7%。41例行子宫按摩,9例行清宫术,6例缝合损伤产道,3例宫腔填塞纱布,2例行子宫切除术,无1例产妇死亡。结论产后出血是产科严重的并发症,积极预防是关键,发生以后要根据出血原因迅速采取相应的措施治疗,方能保证产妇的安全和健康。
Objective To investigate the causes, treatment and preventive measures of postpartum hemorrhage. Methods Retrospective analysis of 75 cases of postpartum hemorrhage in patients with clinical data. Results 50 cases of uterine atony, accounting for 66.7%; 10 cases of placental factors, accounting for 13.3%; birth canal injury in 6 cases, accounting for 8%; coagulation disorders in 4 cases, accounting for 5.3%; the other 5 cases, accounting for 6.7%. 41 cases of uterine massage, 9 cases of curettage, 6 cases of suture injury, 3 cases of intrauterine gauze gauze, 2 cases of hysterectomy, no maternal deaths. Conclusions Postpartum hemorrhage is a serious complication of obstetrics and gynecology, and active prevention is the key. After the occurrence of hemorrhage, the corresponding measures should be taken promptly to ensure the safety and health of the mother.