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本文对1983～1085年1,355例剖宫产术时术后24小时内出血进行分析,出血≥400ml者206例,剖宫产后出血率为15.2％。剖宫产指征中,相对性头盆不称中57例发生术时及术后出血,其产后出血率19.79％(P<0.05);前置胎盘15例发生术时出血,其产后出血率53.57％(P<0.01)。新生儿体重≥4,000g者24例发生术时及术后出血,其产后出血率为34.28％(P<0.01)。术时胎盘徒手剥离者,66例术时及术后出血,其产后出血率为36.67％(P<0.01)。206例剖宫产后出血中,9例(0.66％)作子宫切除术。本文对产后出血的原因及处理方法进行了讨论。
This article from 1983 to 1085 1,355 cases of cesarean section within 24 hours after surgery to analyze the bleeding, bleeding ≥ 400ml in 206 cases, 15.2% after cesarean section bleeding. Among the cesarean indications, 57 cases had hemorrhage at the time of operation and postoperative, the postpartum hemorrhage rate was 19.79% (P <0.05); 15 cases of placenta previa occurred hemorrhage at the time of operation, and the rate of postpartum hemorrhage 53.57% (P <0.01). Twenty-four neonates with weight ≥4,000g had hemorrhage at the time of surgery and after operation, with the rate of postpartum hemorrhage being 34.28% (P <0.01). Sixty-six cases were operated with postoperative hemorrhage. The rate of postpartum hemorrhage was 36.67% (P <0.01). In 206 cases of postpartum hemorrhage, 9 (0.66%) were treated for hysterectomy. This article discusses the causes and treatment of postpartum hemorrhage.