【摘要】 目的　探讨严重产后出血的临床诊断方法。方法　对 78例严重产后出血者采用出血量结合休克指数比较诊断符合率 ,观察与分娩方式的关系。结果　测定出血量和休克指数的符合率分别为 6 0 1 2 %和5 9 32 % ,均显著低于测定出血量结合休克指数的 91 6 8% (P <0 0 1 )。 3种诊断方法在阴道产和剖宫产中的诊断价值存在着不同的差异。结论　应用测定出血量结合休克指数诊断严重产后出血 ,方法简单 ,准确性高。更多还原

【Abstract】 Objective To study the diagnostic method for severe postpartum haemorrhage (PPH). Methods The diagnostic accuracy for severe PPH by the measuring amount of blood loss was compared with shock index or measuring of blood loss combined with shock index in 78 cases. The relationship between the mode of delivery and the diagnostic method were analyzed. Results The accuracy in major PPH of measuring blood loss and shock index were 60.12% and 59.32% respectively, whereas the state of combined method (91.68%) was significantly increased (P<0.01). There was a significant difference between vaginal delivery (38 cases) and cesarean delivery (40 cases) in term of the diagnostic value of the three diagnostic methods. Conclusion The measuring of blood loss combined with shock index might be a simple and accurate method to diagnose severe PPH.更多还原