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目的分析产后出血的原因及抢救手段。方法回顾分析2007年12月~2012年12月在本院进行分娩的77例产后出血产妇的临床资料。结果 77例产后出血患者中子宫收缩乏力48例(62.34%);胎盘因素11例(14.29%);软产道患者9例(11.69%);生殖系统感染6例(7.79%);凝血功能障碍患者2例(2.60%);多产1例(1.29%),所有患者经积极治疗后经痊愈出院,无死亡病例出现。结论产后出血的原因多为子宫收缩乏力,软产道损伤,胎盘因素,生殖系统感染及多产等,其中以子宫收缩乏力出血率最高,采取有效预防措施、提高手术质量和积极的抢救手段可明显降低死亡率。
Objective To analyze the causes of postpartum hemorrhage and rescue measures. Methods The clinical data of 77 postpartum hemorrhagic mothers giving birth in our hospital from December 2007 to December 2012 were retrospectively analyzed. Results Among the 77 cases of postpartum hemorrhage, 48 cases were uterine atony (62.34%), 11 cases (14.29%) of placenta, 9 cases (11.69%) of soft birth canal, 6 cases (7.79%) of reproductive system infection, 2 cases (2.60%); prolific one case (1.29%), all patients were discharged after active treatment, no deaths occurred. Conclusions The main causes of postpartum hemorrhage are uterine atony, injury of soft birth canal, placental factors, reproductive system infection and prolification, among which the rate of bleeding with uterine atony is the highest, effective preventive measures can be taken to improve the quality of operation and the active rescue methods can be obviously Reduce mortality.