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目的探讨产后出血的原因及治疗方法,以降低产妇死亡率。方法选择2009年6月—2011年12月收治的产后出血产妇72例,分析产妇出血原因,采取有针对性的治疗措施,产后子宫收缩乏力者除进行子宫按摩、止血处理方法外,给予静脉滴注缩宫素和抗生素等。对于出血量过大者立即输血、吸氧。本组72例中,行胎盘手法剥离6例,清宫术5例,全子宫切除术3例,软产道撕裂缝合2例,子宫内翻后复位2例。结果产后出血的原因:子宫方面的因素占61.11%,胎盘方面的因素占18.06%,软产道损伤8.33%,凝血功能障碍占6.94%,其他原因占5.56%。所有患者均治愈出院,无死亡病例。结论产后出血原因复杂,及时准确识别产后出血危险因素,并采取有针对性的止血措施,对病情控制具有重要意义。
Objective To investigate the causes and treatment of postpartum hemorrhage to reduce maternal mortality. Methods Seventy-two postpartum hemorrhagic pregnant women were selected from June 2009 to December 2011. The causes of maternal hemorrhage were analyzed and targeted treatment measures were taken. In addition to uterine massage and hemostasis treatment, postpartum uterine atony was given intravenously Note oxytocin and antibiotics and so on. Blood transfusion immediately for excessive bleeding, oxygen. The group of 72 cases, placenta accreta stripping in 6 cases, 5 cases of curettage, hysterectomy in 3 cases, 2 cases of soft birth canal tear suture, 2 cases of intrauterine reversion. Reasons for postpartum hemorrhage: factors in the uterus accounted for 61.11%, placental factors accounted for 18.06%, soft birth canal injury 8.33%, coagulation disorders accounted for 6.94%, other causes accounted for 5.56%. All patients were cured and discharged without any deaths. Conclusions The causes of postpartum hemorrhage are complex, and the risk factors of postpartum hemorrhage are identified timely and accurately, and the targeted hemostasis measures are of great significance to disease control.