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目的探讨剖宫产术中出血的相关因素及防治措施。方法对我院1998年1月至2005年12月发生剖宫产术中大出血的153例病例资料进行回顾性分析。结果我院剖宫产后出血的发生率为4.3%,与阴道分娩后出血发生率4.2%相比,差异无统计学意义,但在出血量上剖宫产明显多于正常产。在严重产后出血中,也占较大比例(79.2%),为我院产后大出血的主要危险因素。结论严格掌握剖宫产指征,有效降低剖宫产率是减少产后出血的措施之一。
Objective To investigate the related factors of bleeding during cesarean section and its prevention and treatment. Methods A retrospective analysis was conducted on 153 cases of massive bleeding during cesarean section in our hospital from January 1998 to December 2005. Results The incidence of postpartum hemorrhage in our hospital was 4.3%, which was not significantly different from the incidence of bleeding after vaginal delivery 4.2%, but the amount of bleeding in cesarean section was significantly more than normal. In severe postpartum hemorrhage, also accounted for a large proportion (79.2%), the major risk factors for postpartum hemorrhage in our hospital. Conclusion Strict control of cesarean section indications, reduce cesarean section rate is one of the measures to reduce postpartum hemorrhage.