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目的:通过研究导致产后出血的原因及其影响因素,从而进行针对性的防治措施,有效的降低孕产妇的死亡率。方法:回顾性的分析2012年9月至2013年3月在本院分娩的36例出现产后出血的病例。找到导致产后出血的主要原因,并根据她们各自的临床资料对于产后出血提出相应的处理措施。结果:导致产妇发生产后出血的原因依次是宫收缩乏力24例(占66.7%),胎盘因素7例(占19.4%),软产道裂伤3例(占8.3%),凝血功能障碍2例(占5.6%)。另外,通过临床观察剖宫产比自然分娩发生产后出血的几率要高。结论:产后出血对于产妇而言是比较严重的并发症,发生产后出血的原因多样化,不同的分娩方式,孕周、有无妊娠合并症或并发症等因素有关,因此应当高度重视产后出血,并针对不同原因导致的产后出血采取相应的治疗措施,从而降低患者的死亡率,挽救产后出血患者的生命安全。
Objective: To study the causes of postpartum hemorrhage and its influencing factors so as to conduct targeted prevention and treatment measures and effectively reduce the maternal mortality rate. Methods: A retrospective analysis of 36 cases of postpartum hemorrhage in our hospital from September 2012 to March 2013 was performed. Find the main causes of postpartum hemorrhage, and according to their respective clinical data for postpartum hemorrhage put forward corresponding measures. Results: The causes of postpartum hemorrhage occurred in 24 cases (66.7%), placenta in 7 cases (19.4%), soft birth canal laceration in 3 cases (8.3%), coagulation disorders in 2 cases Accounting for 5.6%). In addition, the clinical observation of cesarean section than natural childbirth occurred postpartum hemorrhage rate is higher. Conclusions: Postpartum hemorrhage is a serious complication for maternal. The causes of postpartum hemorrhage are diversified, and different modes of delivery, gestational age, pregnancy complications or complications and other factors, so it should attach great importance to postpartum hemorrhage, And for different causes of postpartum hemorrhage to take appropriate treatment measures, thereby reducing the patient’s mortality rate, save the lives of postpartum hemorrhage patients.