目前产后出血仍为产妇死亡的重要原因,而产后出血中以产后弛缓性出血最为重要,如何积极防治产后出血,确实是个很重要的课题。确诊为子宫弛缓性出血即应积极处理,迅速止血,防治休克,预防感染。具体措施:1.静脉穿刺:在积极治疗控制出血的同时,首先要做好静脉穿刺,保证静脉通畅以备输液输血,必要时作静脉切开。2.控制出血是防止休克的首要环节。(1)当胎盘娩出后即有大量活动性出血,首先要检查有无子宫破裂及宫颈裂伤。在排除了创伤性子宫出血后用手指在腹壁对子宫体作有规律的按摩,如膀胱充盈应立即导尿排空膀胱。清除宫腔内积血块,同时注射宫缩剂 The current postpartum hemorrhage is still an important cause of maternal death, and postpartum hemorrhage in postpartum flaccid bleeding is the most important, how to actively prevent postpartum hemorrhage, is indeed a very important issue. Confirmed uterine flaccid bleeding that should be actively addressed, rapid hemostasis, prevention and treatment of shock, prevention of infection. Specific measures: 1. Venous puncture: In the active treatment to control bleeding at the same time, we must first do a good venipuncture, to ensure venous patency for transfusion, if necessary, for venous incision. 2. Control of bleeding is the primary link to prevent shock. (1) When the placenta is delivered after a large number of active bleeding, we must first check for uterine rupture and cervical laceration. After excluding the traumatic uterine bleeding with the fingers in the abdomen on the uterus for regular massage, such as bladder filling immediately emptying the bladder catheterization. Intrauterine removal of blood clots, while injecting uterine contractions