论文部分内容阅读
目的探讨引起晚期产后出血发生的病因及防治措施。方法对2002年12月—2009年12月发生的45例晚期产后出血病例资料回顾性分析。结果导致晚期产后出血发生的病因是:胎盘胎膜残留、子宫修复不良和产褥感染。发生时间以产后2周以内占多数。结论做好分娩期的处理,防止产程的延长,尤其是做好第三产程的处理,切忌用手强行牵拉脐带或用钳子夹取胎盘,以免造成胎盘胎膜的残留。第三产程的结束后,要检查胎盘胎膜是否完整,产道是否损伤,若有异常要及时处理。
Objective To investigate the etiology and prevention and treatment of late postpartum hemorrhage. Methods Retrospective analysis of 45 cases of postpartum hemorrhage occurred from December 2002 to December 2009. As a result, the causes of late postpartum hemorrhage were residual placental membranes, uterine malformations and puerperal infections. Occurs within 2 weeks after birth accounted for the majority. Conclusions Well to deal with childbirth period, to prevent the prolongation of labor, especially in the treatment of the third stage of labor, should not be forced to pull the umbilical cord or pliers with forceps to take the placenta, so as to avoid residual fetal placenta. After the end of the third stage of labor, to check whether the placenta fetal membranes are intact, the birth canal is damaged, if abnormalities should be promptly addressed.