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目的探讨产后出血的病因,加强对产后出血的防治,降低孕产妇死亡率。方法回顾性分析本院2010年1月至2012年9月发生的93例产后出血的临床资料、分娩方式、出血原因及抢救措施。结果总阴道分娩2860例,产后出血60例,发生率为2.1%;剖宫产962例,发生产后出血33例,发生率3.4%;其中宫缩乏力占64.5%,胎盘因素占21.5%,软产道损伤占12.9%,凝血功能障碍占1.1%。结论宫缩乏力是产后出血的主要原因,剖宫产产后出血发生率高于阴道分娩,缩宫素及对症治疗是有效措施。
Objective To explore the causes of postpartum hemorrhage, strengthen the prevention and treatment of postpartum hemorrhage and reduce the maternal mortality rate. Methods Retrospective analysis of 93 cases of postpartum hemorrhage occurred in our hospital from January 2010 to September 2012, the mode of delivery, the cause of bleeding and the rescue measures. Results The total vaginal delivery 2860 cases, 60 cases of postpartum hemorrhage, the incidence was 2.1%; 962 cases of cesarean section, postpartum hemorrhage occurred in 33 cases, the incidence rate of 3.4%; uterine atony accounted for 64.5%, placental factors accounted for 21.5%, soft Birth canal injury accounted for 12.9%, coagulation disorders accounted for 1.1%. Conclusions Uterine atony is the main cause of postpartum hemorrhage. The incidence of postpartum hemorrhage after cesarean section is higher than that of vaginal delivery. Oxytocin and symptomatic treatment are effective measures.