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目的研究产妇产后2h内出血预防与治疗中应当注意的事项。方法通过分析我院2005年1月至2010年12月发生的产后2h出血210例的临床特点。结果发现210例产后出血的原因主要以宫缩乏力、软产道损伤、胎盘因素及凝血功能障碍4类常见,子宫内翻的稍微少些。其中剖腹产的产后出血量要高于阴道分娩者,有过人工流产史的产后出血量高于无人工流产史的分娩者。另外产妇的心理因素对产后出血也有影响。结论产后出血的发生,应该综合考虑问题原因,多方面入手预防和控制。
Objective To study the issues that should be paid attention to in the prevention and treatment of bleeding within 2 hours after delivery. Methods The clinical features of 210 cases of 2h postpartum hemorrhage occurred in our hospital from January 2005 to December 2010 were analyzed. The results found that 210 cases of postpartum hemorrhage mainly due to uterine inertia, soft birth canal injury, placental factors and coagulation disorders four common, slightly less intrauterine inversion. Among them, the amount of postpartum hemorrhage in caesarean section was higher than that in vaginal delivery. The postpartum hemorrhage with history of induced abortion was higher than those with no history of artificial abortion. In addition maternal psychological factors also have an impact on postpartum hemorrhage. Conclusions The occurrence of postpartum hemorrhage should take into account the causes of the problem comprehensively and start with prevention and control in many aspects.