产后出血的临床分析及救治策略  

作　　者：韩燕[1] 赵崇伟[2] 

机构地区：[1]深圳市宝安区石岩人民医院产科,518108 [2]深圳市宝安区石岩人民医院骨科,518108

出　　处：《当代医学》2012年第24期31-33,共3页Contemporary Medicine

摘　　要：目的探讨产后出血发生的原因、危险因素及救治策略。方法回顾性分析2009年6月～2012年1月的106例产后出血病例的临床资料。结果产后出血主要原因有子宫收缩乏力、胎盘因素、软产道裂伤及凝血障碍4个方面。相关影响因素有分娩次数、分娩方式及妊娠合并症等。结论产后出血是多原因、多危险因素所致,加强孕前宣教及孕期管理,掌握剖宫产的指征及时机,提高医务人员助产技术及加强产时、产程及产后的监护,可减少产后出血的发生,对降低产后出血率及孕产妇病死率有重要作用。Objective To investigate the causes, influencing factors and treatment strategies of postpartum hemorrhage （PPH）. Methods Retrospective analysis was done on the 106 cases of PPH in our hospital from June 2009 to January 2012. Results The major causes were uterine inertia, the placenta factor, soft obstetrical canal crack, and dysfunction of blood coagulation. And related influencing factors included delivery times, and pregnancy complications, and so on. Conclusion The PPH was related to various measures and multiple risk factors. It＇s important to emphasize health education and prenatal management. In the meantime, how to manage the indication and the time for caesarean section, enhance obstetrical assistance skills and monitor the whole process is crucial as well for decreasing the incidence of postpartum hemorrhage and pregnancy mortality.

关 键 词：产后出血 病因 影响因素 救治策略 

分 类 号：R714.461[医药卫生—妇产科学]