产后出血63例分析  

Retrospective analysis of postpartum hemorrhage in 63 cases

作　　者：厉勇[1] 肖琨[1] 唐甜[1] 

机构地区：[1]贵州省贵阳市妇幼保健院输血科,550002

出　　处：《检验医学与临床》2011年第17期2063-2064,2067,共3页Laboratory Medicine and Clinic

摘　　要：目的了解贵阳市妇幼保健院产科住院产妇因产后出血的输血情况。方法回顾性分析贵阳市妇幼保健院2008年11月至2009年12月因产后出血给予输血治疗的产妇63例。结果引起产后出血的原因主要为子宫收缩乏力和胎盘因素,分别占33%和27%。用血情况为出血量小于800mL的产妇输注悬浮红细胞、全血、血浆和机采血小板量分别为25U、200mL、1 000mL和3个治疗量;出血量800～2 000mL的产妇输注悬浮红细胞、全血、血浆、冷沉淀和机采血小板量平均为47U、1 000mL、2 600mL、10U和1个治疗量;出血量大于或等于2 000mL的产妇输注悬浮红细胞、全血、洗涤红细胞、血浆、冷沉淀和机采血小板量分别为188U、8 300mL、2U、12 850mL、24.5U和1个治疗量。产后24h红细胞、血红蛋白和血细胞比容检查结果,出血量小于800mL的产妇红细胞、血红蛋白和血细胞比容分别为2.64×1012/L、78g/L和0.22;出血量800～2 000mL的产妇分别为2.45×1012/L、70g/L和0.19;出血量大于2 000mL的产妇分别为2.56×1012/L、75g/L和0.21。结论贵阳市妇幼保健院产科住院产妇产后出血的输血治疗不太规范,应针对产妇出血量及出血情况的不同,分别选择合理、有效的输血方案,重视输血治疗。Objective To understand the obstetric maternal postpartum hemorrhage and blood transfusion in our hospital. Methods To perform the retrospective analysis on 63 cases of postpartum hemorrhage and blood transfusion in our hospital from November 2008 to December 2009. Results The main causes of postpartum hemorrhage were uterine atony（33%） and placenta factor（27%）. The puerperas with postpartum hemorrhage less than 800 mL were infused suspended red blood cells, whole blood, plasma and apheresis platelets 25 U,200 mL, 1 000 mL and 3 dosis curativa respectively. The puerperas with postpartum hemorrhage 800-- 2 000 mL were infused suspended red blood cells,whole blood,plasma,cryoprecipitate and apheresis platelets 1 000 mL,2 600 mL,47 U,10 U and 1 dosis curativa respectively. The puerperas with postpartum hemorrhage more than 2 000 mL were infused suspended red blood cells,whole blood, washed red blood cells, plasma, cryoprecipitate and apheresis platelets 188 U, 8 300 mL, 12 850 mL, 24.5 U and 1 dosis curativa respectively. After 24 h of postpartum hemorrhage, RBC count, hemoglobin and hematocrit in the puerperas with postpartum hemorrhage less than 800 mL averaged 2.64 × 10^12/L, 78 g/k and 0.22 respectively. The puerperas with postpartum hemorrhage between 800 mL and 2 000 mL averaged 2.45 × 10^12/ L,70 g/L and 0. 19 respectively. The puerperas with postpartum hemorrhage 2 000 mL or above averaged 2. 56 ×10^12/L,75 g/L and 0.21 respectively. Conclusion The blood transfusion for treating postpartum hemorrhage is non --standard in our hospital. According to different bleeding and situation of maternal, the reasonable and effective blood component transfusion should been selected.

关 键 词：产后出血 血液成分输血 回顾性研究 

分 类 号：R714.461[医药卫生—妇产科学]