68例晚期产后大出血的处理和临床分析  

作　　者：杨勤[1] 

机构地区：[1]四川省简阳市中医院妇产科,641400

出　　处：《当代医学》2011年第15期86-87,共2页Contemporary Medicine

摘　　要：目的探讨晚期产后大出血的时间、病因,提出防治措施。方法回顾分析2003～2009年收治的68例晚期产后大出血患者的临床资料。结果 68例晚期产后大出血发病主要原因是:子宫切口感染,子宫复旧不良,胎盘胎膜残留,子宫内膜炎,软产道损伤等。结论对病因的诊断、防治值得重视。处理上可采用宫缩剂,止血剂及抗感染,并根据病因对症治疗,对急性严重出血者可行子宫切除术。Objective To discuss the time and cause of later period postnatal massive hemorrhageand propose the preventing and controlling measure.Methods The data of 68 cases with later period postnatal massive hemorrhage in my courtyard admitting in 2003 to 2009 years were reviewed and analyzed.Results Morbidity primary cause is：the womb margin infection,involution of uterus is not good,the placenta fetal membrane remains,womb intimitis,soft birth canal damage and so on.Conclusion The diagnosis of the cause,prevention is worth attention.Treatment can be contractions agents,anti-infective agents to stop bleeding,and symptomatic treatment based on etiology,acute severe bleeding is feasible with hysterectomy.

关 键 词：产后大出血 子宫复旧不良 子宫切口愈合不良 

分 类 号：R714.6[医药卫生—妇产科学]