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上海市1976～1985年孕产妇死亡共435例,其中因产科出血而死亡的共110例,占死亡孕产妇的25.3％。而产科出血中因产后出血死亡者89例,占80.9％。89例中因胎盘问题、软产道损伤及宫缩乏力三大主要原因引起的占98.9％。1980年前五年,胎盘因素是造成产后出血死亡的主因。1981年及1982年软产道损伤转为产后出血死亡的主因。由于宫缩乏力致产后出血死亡者十年来持续在20％左右。我院对上海市每年产妇死亡的原因进行分析,找出倾向性问题,采取相应措施,提高防治质量,使产后出血死亡专率从1976年的14.4/10万下降到1985年的1.3/10万。
A total of 435 maternal deaths occurred in Shanghai from 1976 to 1985, of which 110 died of obstetric hemorrhage, accounting for 25.3% of all maternal deaths. The obstetric hemorrhage in postpartum hemorrhage died of 89 cases, accounting for 80.9%. In 89 cases, 98.9% were caused by the three main causes of placenta, soft birth canal injury and uterine atony. The first five years of 1980, placental factors are the main cause of postpartum hemorrhage death. In 1981 and 1982, the injury of soft birth canal was the main cause of postpartum hemorrhage. Death due to uterine inertia due to postpartum hemorrhage continued in 20 years or so. Our hospital analyzed the causes of annual maternal death in Shanghai to identify the tendentious problems and took appropriate measures to improve the quality of prevention and treatment so that the specific rate of postpartum hemorrhage declines from 14.4 / 100,000 in 1976 to 1.3 / 100,000 in 1985 .