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目的:探讨产后出血的相关因素及防治措施。方法:对2005年1～8月128例产后出血的病人资料进行回顾性分析。结果:剖宫产90例,占70.31%;阴道分娩38例,占29.69%。原因:子宫收缩异常占89.06%;胎盘因素9.38%;软产道裂伤0.78%;凝血机制异常1.56%。抢救成功率100%。结论:产后出血原因子宫收缩乏力占首位,剖宫产产后出血率(3.94%,90/2 287)明显高于阴道分娩者(2.16%,38/1 759);积极干预并及时诊治抢救是防治产后出血的有效措施。
Objective: To explore the related factors of postpartum hemorrhage and its prevention and cure. Methods: A retrospective analysis was performed on 128 patients with postpartum hemorrhage from January to August in 2005. Results: 90 cases of cesarean section, accounting for 70.31%; 38 cases of vaginal delivery, accounting for 29.69%. Causes: abnormal uterine contractions accounted for 89.06%; placental factor 9.38%; soft birth canal laceration 0.78%; coagulation abnormalities 1.56%. Rescue success rate of 100%. Conclusion: The cause of postpartum hemorrhage is uterine atony, the rate of postpartum hemorrhage (3.94%, 90/2 287) is significantly higher than vaginal delivery (2.16%, 38/1 759); active intervention and prompt diagnosis and treatment Postpartum hemorrhage effective measures.