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对1985~1995年10年间的目测加收集测量法诊断的产后出血193例进行回顾性研究。产后出血发生率为3.7%,产后出血原因位次为:宫缩乏力、胎盘因素、软产道损伤、其它(妊高征、妊娠肝内胆汁淤积征等)等;产后出血易发于20~24岁组;胎产次增加致产后出血率增加;胎儿随体重增加,特别是≥4.0kg以上时产后出血发生率增高;剖宫产产后出血率高于阴道分娩;阴道手术助产与顺产组产后出血率差异明显,前者高于后者。产后出血病例中79.27%出血量为400~500ml,一般≤800ml。产后出血率的降低重在预防。
A retrospective study was conducted on 193 cases of postpartum hemorrhage diagnosed by collection plus measurement during the 10 years between 1985 and 1995. The incidence of postpartum hemorrhage was 3.7%. The causes of postpartum hemorrhage were as follows: uterine inertia, placental factors, soft birth canal injury, other (PIH, intrahepatic cholestasis of pregnancy), etc .; postpartum hemorrhage prone to 20 to 24 Year-old group; increase in child-bearing birth rate increased after birth; fetus with body weight increased, especially ≥ 4.0kg or more when the incidence of postpartum hemorrhage increased; cesarean section postpartum hemorrhage rate was higher than vaginal delivery; vaginal surgery midwifery and postpartum birth Significant differences in bleeding rate, the former is higher than the latter. 79.27% of the cases of postpartum hemorrhage bleeding 400 ~ 500ml, usually ≤ 800ml. The reduction in postpartum hemorrhage is more important than prevention.