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目的:探讨产后出血与孕产妇死亡原因的关系,为进一步有效降低孕产妇死亡率提供参考。方法:回顾性总结分析我州2006年10月至2012年9月期间收集评审的75例死亡孕产妇的临床病例资料,总结分析上述75例孕产妇出现产后出血以及死亡的情况,分析导致孕产妇死亡的主要原因是产科出血,占孕产妇死亡的60%,分析导致产后出血与孕产妇死亡的原因。结果:产后出血是产科出血的主要原因,占91.1%,产前出血仅占产科出血的8.9%。在导致死亡孕产妇产后出血的原因中,宫缩乏力为首要原因,所占比例为31.71%,其次为胎盘滞留,所占比例为26.83%,再次为羊水栓塞、前置胎盘、子宫破裂、软产道损伤、晚期产后出血,所占比例为41.46%。结论:胎盘滞留、宫缩乏力以及羊水栓塞是导致孕产妇产科出血的三个主要原因,产科出血是造成孕产妇死亡的主要原因;应当重视对产后出血预防,加强孕产妇的保健管理,从而减少产后出血的发生率和孕产妇死亡率。
Objective: To explore the relationship between postpartum hemorrhage and maternal mortality and to provide reference for further effective reduction of maternal mortality. Methods: A retrospective analysis of clinical data of 75 cases of death maternal collected in our county from October 2006 to September 2012 were retrospectively analyzed. The incidence of postpartum hemorrhage and death in 75 cases of maternal mortality were analyzed and analyzed. The main cause of death was obstetric hemorrhage, which accounted for 60% of maternal deaths, and analyzed the causes of postpartum hemorrhage and maternal mortality. Results: Postpartum hemorrhage was the main cause of obstetric hemorrhage, accounting for 91.1%. Prenatal hemorrhage accounted for only 8.9% of obstetric hemorrhage. Among the causes of postpartum hemorrhage leading to death, uterine inertia was the primary reason, accounting for 31.71%, followed by placenta accreta, accounting for 26.83%. Again, amniotic fluid embolism, placenta previa, uterine rupture, soft Trauma, late postpartum hemorrhage, the proportion was 41.46%. CONCLUSION: The three main causes of obstetric bleeding are placenta, uterine inertia and amniotic fluid embolism. Obstetric hemorrhage is the main cause of maternal mortality. Prevention of postpartum hemorrhage and maternal health management should be emphasized, so as to reduce The incidence of postpartum hemorrhage and maternal mortality.