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目的:探讨产妇产后出血的原因及相关因素,提高医护工作者对产后出血的正确认识,做出正确的处理,减少产妇产后出血的发生率和死亡率,保障母婴健康。方法:对2011-2012在我院住院治疗的发生产后出血的90例产妇的临床资料进行回顾性分析,找到产后出血的主要影响因素,并根据临床资料对于产后出血提出正确的处理方案。结果:产后出血主要出现在分娩后2小时内,影响产妇发生产后出血的主要原因依次为宫缩乏力63例,占70%,胎盘因素18例,占20%,软产道裂伤6例,占6.7%,凝血功能障碍3例,占3.3%;另外,剖宫产比自然分娩产后出血的发生率要高。结论:产后出血是产科常见的严重并发症,是由多种原因和相关因素引起的,应当予以高度重视,并针对不同原因导致的产后出血采取及时准确的治疗方案,降低患者的死亡率,挽救产后出血患者的生命安全。
Objective: To explore the causes of maternal postpartum hemorrhage and related factors, to improve the health care workers on the correct understanding of postpartum hemorrhage and make the correct treatment to reduce the incidence of maternal postpartum hemorrhage and mortality rates to protect the health of mothers and children. Methods: The clinical data of 90 pregnant women with postpartum hemorrhage hospitalized in our hospital from 2011 to 2012 were analyzed retrospectively to find out the main influencing factors of postpartum hemorrhage. According to the clinical data, we put forward the correct treatment plan for postpartum hemorrhage. Results: The main causes of postpartum hemorrhage occurred within 2 hours after delivery. The main causes of postpartum hemorrhage were as follows: uterine inertia 63 cases, 70%, placenta 18 cases, 20%, soft birth canal laceration 6 cases 6.7%, coagulation disorders in 3 cases, accounting for 3.3%; In addition, cesarean section than natural childbirth higher incidence of postpartum hemorrhage. Conclusions: Postpartum hemorrhage is a common and serious complication of obstetrics, which is caused by many causes and related factors. It should be given high priority and a timely and accurate treatment plan for postpartum hemorrhage caused by different causes should be taken to reduce the patient’s mortality and save Postpartum hemorrhage in patients with life safety.