尽管可以获得库存的血液及血制品,但产后出血和手术出血仍是并发症和死亡的主要原因。盆腔出血需迅速控制,否则易危及生命。有两点需强调:(1)足月时妊娠子宫的血流量占心排出量的五分之一;(2)出血不可能自动停止,应立即采取措施。病因及治疗治疗盆腔出血最重要的是要弄清其病因。产妇死亡中大约三分之一是由于出血,其中子宫乏力是最常见的原因,出血病人的生存率与着手处理所用时间长短成正比。一旦诊断明确,应置两根大口径输液管,作全血计数、血型鉴定和交叉配血、部分凝血酶原时间、纤维蛋白原、纤维蛋白降解产物、血气分析和血清电解质,并开始迅速补充血容量、测 Despite the availability of stocked blood and blood products, postpartum hemorrhage and surgical bleeding are still the major causes of complications and death. Pelvic bleeding to be promptly controlled, otherwise vulnerable to life. There are two points to be emphasized: (1) when the full-term pregnancy uterine blood flow accounted for one-fifth of cardiac output; (2) bleeding can not stop automatically, should take immediate measures. Etiology and treatment of pelvic hemorrhage is the most important thing is to find out the cause. Approximately one third of maternal deaths are due to bleeding, the most common cause of which is weakness in the uterus. The survival rate for bleeding patients is directly proportional to the length of time it takes to begin treatment. Once diagnosed, two large-diameter transfusions should be set up for whole blood count, blood type identification and cross-matching, partial prothrombin time, fibrinogen, fibrin degradation products, blood gas analysis and serum electrolytes and should be promptly replenished Blood volume, measured