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在产科领域中,产后出血(post—partum haemorrhage,简称PPH)仍是最常见、最复杂,乃至危及产妇生命的严重并发症,尤其在广大的农村尤为常见。据1986年全国21个省市孕产妇死亡率和死亡原因的调查,产科出血居首位,占死亡原因的45.9％。而PPH又居产科出血的首位,占69.6％,因此重视PPH,特别是在产前、产时和产后如何预防产后出血尤为重要。 1 产前 1.1 加强三级保健网,进行系统产前检查,积极治疗各种妊娠合并症,尤应重视妊高征及妊娠合并肝炎的防治工作。纠正贫血,以提高机体对出血的耐受性。 1.2 参考产后出血评分表,对有PPH可能者应提前住院待产,测血型并备血。 1983年10月至1984年9月,全国产后出血防治协作组共调查了6421例阴道分娩产妇,根据与PPH
In the field of obstetrics, postpartum hemorrhage (PPH) is still the most common, complicated and even endangering the serious complications of maternal life, especially in the vast rural areas. According to a survey of maternal mortality and causes of death in 21 provinces and cities nationwide in 1986, obstetric hemorrhage ranked the first place, accounting for 45.9% of the deaths. PPH and obstetric bleeding the first place, accounting for 69.6%, so pay attention to PPH, especially in the prenatal, postpartum and postpartum how to prevent postpartum hemorrhage is particularly important. 1 prenatal 1.1 to strengthen three health networks, systematic prenatal care, active treatment of various pregnancy complications, with particular emphasis on pregnancy-induced hypertension and pregnancy prevention and treatment of hepatitis. Correct anemia, to improve the body’s tolerance to bleeding. 1.2 refer to postpartum hemorrhage score table, PPH may be hospitalized in advance to be measured, blood type and blood preparation. October 1983 to September 1984, the National Collaborative Group on Prevention and Treatment of Postpartum Bleeding were investigated in 6421 cases of vaginal delivery of mothers, according to the PPH