产后出血的原因和护理对策  

Reason and nursing of hemarrheage after delivering

作　　者：邓树珍 孔肇英 杨建勋 麦带英 Deng Shuzhen,Kong Zhaoying, Yang Jianxun ,Mai Daiying （The First People＇s Hospital of Zhao Qing, Guang Dong 526021 ）

机构地区：肇庆市第一人民医院,广东肇庆526021

出　　处：《中国保健》2008年第9期294-295,共2页Chinese Health Care

摘　　要：目的：探讨产后出血的相关因素和治疗、预防及护理对策。方法：回顾性分析2006年1月1日～2007年12月31日在本院产科分娩并发产后出血的128例产妇的临床资料，研究其相关的各种高危因素。结果：产后出血与宫缩乏力、胎盘因素、分娩方式关系密切。产后出血的高危因素有，≥2次人流及刮宫史、妊娠高血压综合征、多胎妊娠、羊水过多、巨大儿、妊娠合并肝炎、前置胎盘、胎盘早剥、第二产程延长、急产、阴道助产。结论：宫缩乏力是产后出血的主要原因，其次为胎盘因素。识别高危因素，积极治疗妊娠合并症，正确处理分娩过程，是避免产后出血的重要环节，及时正确的处理可减少出血量和改善产妇预后，而合理的组织分工是抢救此类病人的关键。Objective： To observe the relative factors, treatment prevention and nursing of hemarrheage after delivering. Methods： 128 puerperas with hemarrheage from 1 Jan 2006 to 31 Dec 2007 in our hospital were retrospectively analyzed ,we studied the different relative high risk factors. Results： Hemarrheage after delivering closely related to the shrink of uterus, placenta factors and the way of delivering. The high risk factors of hemarrheage after delivering ： ≥ 2 times induced abortion, pregnancy - induced hypertension, multiple pregnancy, polyhydramnios, fetal macrosomia, cholestasis of pregnancy, placenta previa, placental abruption, prolong of the second delivering time, urgent birth, assisted vaginal delivery. Conclusion：Failure of uterus to contract is the main cause to the hemarrheage after delivering,the second cause is placenta factors. It is important to prevent hemarrheage after delivering by recognizing the high risk factors, treating pregnancy incorporated diseases, and treating correctly in delivering times. Treating in time and correctly is help to reduce the amount of hemarrheage and recovery of the puerperas. But it is key to organize rescue reasonably.

关 键 词：产后出血 高危因素 护理对策 

分 类 号：R714.461[医药卫生—妇产科学;医药卫生—临床医学]