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目的:调查分析与剖宫产后出血的相关因素,为制定合理防治剖宫产后出血措施提供依据。方法:就2002年3月1日至2002年12月31日在南京市10家医院行剖宫产术分娩者有关剖宫产指征、产后出血相关因素进行问卷调查。结果: 1146例剖宫产分娩者产后24h平均出血量528 0ml;出血量≥500ml者447例,占39 .01%,其中宫缩乏力性出血为81 .3%。多因素分析显示,前置胎盘、双胎、新生儿高体重与剖宫产后出血有关。结论:剖宫产后出血发生率高,前置胎盘、双胎和新生儿高体重孕妇是剖宫产后出血的高风险人群。
OBJECTIVE: To investigate and analyze the related factors of bleeding after cesarean section, and provide the basis for making reasonable measures to prevent and treat bleeding after cesarean section. Methods: From March 1, 2002 to December 31, 2002, cesarean section indications and postpartum hemorrhage related factors in cesarean delivery in 10 hospitals in Nanjing were surveyed. Results: 1146 cesarean section delivery postpartum 24h mean blood loss 528 0ml; bleeding ≥ 500ml 447 cases, accounting for 39.01%, of which uterine inert bleeding was 81.3%. Multivariate analysis showed that placenta previa, twins, newborns with high body mass and bleeding after cesarean section. Conclusions: The incidence of post-cesarean section bleeding is high. Pre-placenta, twins and neonates with high body weight are at high risk for post-cesarean section bleeding.