重度产科出血60例分析  

Analysis of 60 cases with severe obstetric hemorrhage

作　　者：徐卫东 

机构地区：[1]广西陆川县人民医院,广西陆州537700

出　　处：《海南医学院学报》2009年第6期601-602,共2页Journal of Hainan Medical University

基　　金：海南医学院科研基金资助学报项目(0020090014)~~

摘　　要：目的:通过对60例重度产科出血患者抢救经过进行回顾性分析,探讨如何对重度产科出血的患者进行积极、有效、正确的抢救,提高抢救成功率,降低孕产妇死亡率。方法:筛选出血超过1000mL,或合并休克的产科出血病例60例,对其出血原因、治疗方法进行分析。结果:60例中56例痊愈,4例死亡。结论:(1)积极组织抢救,快速输平衡液扩容是抢救成功的第一步。(2)识别临床表现,早期诊断,明确病因是提高抢救成功率的前提。(3)及时大量输血是最重要的抗休克措施。(4)迅速止血是抢救成功的关键。Objective： To discuss the active, effective and accurate emergency treatment for severe obstetric hemorrhage patients, to increase success rate and decline mortality. Methods： Selected 60 obstetric hemorrhage patients with blood volume 〉 1 000 mL, or complicated by shock, and retrospectively analyzed the cause for bleeding and corresponding treatment. Results： 56 out of 60 cases were healed, and 4 were dead. Conclusion： Active emergency treatment and fast transfusing balance solution for dilatancy is the first step of successful rescue. Recognizing clinical manifestation, making early diagnosis and identifying accurate cause are premise for increasing success rate. Massive transfusion in time is the most important anti-shock measure, and prompt hemostasis is the key for rescue.

关 键 词：出血 分娩 胎盘 前置 宫缩乏力 

分 类 号：R714.461[医药卫生—妇产科学]