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目的:研究分析影响产后出血的相关因素。方法:选取我院自2009年3月—2011年2月期间收治的分娩产妇356例,年龄在20—32岁之间,平均年龄25.1岁,均符合在胎儿分娩后24小时内出血量超过500ml者,根据聚血盘内的血量计算出血量。孕妇回病房后将其24小时后使用纱布上的血量进行计算,将以上两部分合算即可大致算出产妇出血量。结果:患者产后出血的原因中,宫缩乏力者有164例,占40.2%;胎盘因素者92例,占25.8%;软产道损伤62例,占25.1%;凝血功能障碍38例,占10.9%。结论:要预防产后出血,就要从可导致产后出血的因素着手,减少出血环节,进一步降低发生出血的可能性。及时关注产妇的心理状态、产前营养以及相关检查状况,对其进行全程监护,尽可能地减少产后出血的可能性。一旦发生,要及时进行治疗。
Objective: To study and analyze the influencing factors of postpartum hemorrhage. Methods: 356 cases of childbirth received in our hospital from March 2009 to February 2011 were selected. The patients aged 20-32 years old and average age were 25.1 years old. All of them met the criteria of bleeding more than 500ml within 24 hours after childbirth , According to the blood volume within the blood plate to calculate the amount of blood. Pregnant women back to the ward will be 24 hours after the gauze on the use of blood to calculate the above two parts can be roughly calculated maternal bleeding. Results: Among the causes of postpartum hemorrhage, there were 164 cases of uterine atony in 40.2%, 92 cases of placenta (25.8%), soft birth canal injury in 62 cases (25.1%), coagulation disorders (10.9%), . Conclusion: To prevent postpartum hemorrhage, we must start from the factors that can lead to postpartum hemorrhage to reduce the bleeding link, to further reduce the possibility of bleeding. Timely attention to the psychological status of mothers, prenatal nutrition and related inspection status, its full custody, as much as possible to reduce the possibility of postpartum hemorrhage. In the event of a disease, timely treatment should be carried out.