【摘要】 目的:探讨基层医院产妇产后出血的原因,总结防治方法。方法:对2012年1月-2014年12月在珠海市红旗医院住院分娩的1324名产妇,其中发生产后出血41例产妇的出血原因、抢救治疗方法及预后进行回顾性分析。结果:经产妇的产后出血比例高于初产妇,差异具有统计学意义(P<0.05);有人工或自然流产史产妇的产后出血比例高于非流产产妇,差异具有统计学意义(P<0.05);剖宫产产妇发生产后出血比例最大,明显高于经阴道分娩方式(P<0.05);子宫收缩乏力引起的产后出血远高于胎盘因素及软产道撕裂伤、凝血功能障碍造成的产后出血,差异具有统计学意义(P<0.05)。产妇予欣母沛深部肌肉注射或子宫宫腔内填塞后止血效果良好,无产妇行子宫切除术;出血性休克的8例产妇中5例输血治疗。41例产后出血产妇均痊愈出院,无死亡病例。结论:产妇的孕产史、分娩方式以及子宫收缩状况、胎盘、软产道撕裂伤等均是影响产妇产后出血的因素,明确病因,早期识别,有效治疗是成功防治产后出血的关键。更多还原

【Abstract】 Objective To explore the causes of postpartum hemorrhage in primary hospital, summarize the prevention method. Methods 41 cases of postpartum hemorrhage reason, emergency treatment methods and prognosis were analyzed retrospectively. Results The proportion was higher than the early maternal maternal postpartum hemorrhage, and had statistical significance(P < 0.05); apuerpera natural or artificial abortion proportion was higher than the nonabortion maternal postpartum hemorrhage, and had statistical significance(P < 0.05); cesarean section postpartum hemorrhage was significantly higher than that of most large proportion, by way of vaginal delivery(P < 0.05).Mothers treated with hemabatedeep intramuscular injection or uterine cavity packing hemostasis effect was good, no maternal uterine resection; 8 cases of maternalhemorrhagic shock in 5 cases of blood transfusion therapy. 41 cases of postpartum hemorrhage parturient were cured, no death case. Conclusion Maternal pregnancy, delivery mode and status, the contraction of the uterus placenta, soft birth canal laceration are the influencing factors of postpartum hemorrhage, early recognition of clear etiology, treatment is the key to the success, effective prevention of postpartum hemorrhage.更多还原