目的探讨剖宫产产后出血的防治对策,分析其预后。方法 2010年3月至2011年12月我院行剖宫产术发生产后出血者39例,先给予患者促进宫缩药物治疗,无效者宫腔填塞压迫止血,出血仍未停者结扎子宫上行动脉或髂内动脉,治疗无效者行子宫次全切除术或子宫全切除术。结果 39例剖宫产产后出血患者经使用促进宫缩药物和子宫按摩后有28例患者出血停止,其余患者仍有活动性出血给予宫腔填塞压迫法止血,7例患者出血得到控制,但仍有4例患者治疗无效。2例患者行子宫动脉上支结扎术,1例患者行髂内动脉结扎术并取出宫腔填塞物再次填塞后出血停止。另1例患者经上述治疗无效,经家属同意后实施子宫次全切除术,术后患者恢复良好。结论根据剖宫产患者产后出血情况迅速果断采用相应的治疗措施可有效控制出血。 Objective To investigate the prevention and cure measures of cesarean section postpartum hemorrhage and analyze its prognosis. Methods From March 2010 to December 2011, 39 cases of postpartum hemorrhage were treated by cesarean section in our hospital. The patients were firstly treated with uterine contractions, and the ineffective intrauterine compression was used to stop the bleeding. The hemorrhage was still stopped and the uterine artery was ligated Or internal iliac artery, ineffective treatment of subtotal hysterectomy or hysterectomy. Results Thirty-nine patients with cesarean section postpartum hemorrhage stopped bleeding after 28 hours of uterine contractions and uterine massage, and the remaining patients still had active hemorrhage and were given intrauterine compression therapy to stop bleeding. Seven patients had hemorrhage under control, Four patients were ineffective. Two patients underwent ligation of the superior uterine artery. One patient underwent ligation of the internal iliac artery and the uterine cavity was removed. Another case of patients by the above treatment is invalid, the implementation of sub-total hysterectomy with the consent of their families, postoperative patients recovered well. Conclusion According to the cesarean section patients with postpartum hemorrhage quickly and decisively with the appropriate treatment can effectively control bleeding.