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目的对导致剖宫产后出血因素进行分析。方法对保定市第五医院妇产科2 0 1 2年8月~2 0 1 3年8月期间的96例出现产后出血的孕产妇进行研究,探讨产后出血发生率与分娩方式的关系、手术指征与产后出血高危因素以及产后出血与治疗方式的比较。结果顺产的产后出血率为1.6 5%,而剖宫产则高达4.0 3%,差异有统计学意义(P<0.0 1);胎盘因素与巨大胎儿因素是实施剖宫产的孕产妇产后出血的最主要高危因素,分别占3 1.2 5%与2 8.1 3%。结论孕产妇实施剖宫产的产后出血率比顺产有显著提升;实施剖宫产术而导致出血的最重要诱因为孕产妇宫缩乏力和孕产妇胎盘因素;常规治疗、宫腔纱布填术、B-Lynch、动脉结扎等治疗方法适合于治疗由剖宫产术而引起的产后出血。
Objective To analyze the causes of bleeding after cesarean section. Methods A total of 96 pregnant women with postpartum hemorrhage during obstetrics and gynecology from August 2012 to August 2011 in Baoding were studied to explore the relationship between the incidence of postpartum hemorrhage and mode of delivery. Indications and high risk factors for postpartum hemorrhage and postpartum hemorrhage and treatment comparison. Results The rate of postpartum hemorrhage was 1.6 5% and the rate of cesarean section was 4.03% (P <0.01). The placental factor and macrosomia fetus were the postpartum hemorrhage of cesarean section The most important risk factors were 3 1.2 5% and 2 8.13% respectively. Conclusion The rate of postpartum hemorrhage in cesarean section was significantly higher than that in cesarean section. The most important causes of bleeding after cesarean section were maternal uterine inertia and maternal placenta. Conventional treatment, uterine gauze, B-Lynch, arterial ligation and other treatment methods suitable for treatment of postpartum hemorrhage caused by cesarean section.