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目的探讨子宫收缩乏力性产后出血的原因及处理方法。方法分析北京市通州区妇幼保健院2007年~2009年间的294例住院分娩产妇的产后症状及对症处理结果。结果宫缩乏力性出血占总出血人数的83.3%。出血量>800ml者占26.7%,休克发生率为13.3%。给予缩宫素静点结合舌下含服米索前列醇处理,抢救成功率为100%,未发生1例孕产妇死亡事件。结论产后出血原因主要以子宫收缩乏力为主。缩宫素结合舌下含服米索前列醇可有效地预防、控制产后出血。
Objective To investigate the causes and treatment of postpartum hemorrhage due to uterine atony. Methods The postpartum symptoms and symptomatic treatment results of 294 maternal inpatient delivery during 2007-2009 in Tongzhou District Maternal and Child Health Hospital in Beijing were analyzed. Results Uterine inert bleeding accounted for 83.3% of the total number of bleeding. Bleeding> 800ml accounted for 26.7%, shock rate was 13.3%. Oxytocin given intravenously with sublingual misoprostol treatment, rescue success rate was 100%, 1 case of maternal deaths did not occur. Conclusion The main causes of postpartum hemorrhage uterine atony. Oxytocin combined with sublingual misoprostol can effectively prevent and control postpartum hemorrhage.