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目的:探讨引起晚期产后出血的原因及预防措施。方法:回顾性分析2012年3月~2015年3月我院发生的62例晚期产后出血病例临床资料,分析晚期产后大出血原因并提出预防措施。结果:62例晚期产后出血患者均痊愈出院,晚期产后出血的主要原因为胎盘、胎膜残留、软产道损伤、子宫修复不良,以及剖宫产术的子宫切口感染、裂开出血等。结论:应重视第三产程,做好此阶段的护理,晚期产后大出血可采用清宫术、宫缩剂及抗感染等对症治疗,对急性出血者可行髂内动脉栓塞术或子宫切除术。
Objective: To explore the causes of late postpartum hemorrhage and preventive measures. Methods: The clinical data of 62 cases of postpartum hemorrhage occurred in our hospital from March 2012 to March 2015 were retrospectively analyzed. The causes of postpartum hemorrhage were analyzed and the preventive measures were put forward. Results: All 62 patients with advanced postpartum hemorrhage were cured and discharged. The main causes of late postpartum hemorrhage were placenta, residual fetal membranes, injury of soft birth canal, poor uterine repair, uterine incision infection of cesarean section and bleeding. Conclusion: Emphasis should be placed on the third stage of labor, and care should be taken at this stage. Late postpartum hemorrhage can be treated symptomatically with curettage, uterotonics and anti-infectives, and internal iliac artery embolization or hysterectomy is feasible for acute hemorrhage.