产道血肿118例临床分析  

Clincal Analysis on 118 Cases With Hematoma of Birth Canal

作　　者：王春梅[1] 李迎春[1] 高鹏[1] 

机构地区：[1]九江市妇幼保健院妇产科,江西九江332000

出　　处：《江西医学院学报》2002年第2期76-78,共3页Acta Academiae Medicinae Jiangxi

摘　　要：目的 :提高对产道血肿的认识 ,积极预防及正确处理产道血肿。方法 :选择 118例产道血肿病例及同期平产的 12 79例病例进行回顾性对照分析。结果 :( 1)产钳助产易导致产道血肿 ;( 2 )第二产程过速、产道撕裂伤、妊高征、阴道炎和巨大儿 ,在血肿组均高于对照组 ,为发生产道血肿的高危因素 ;( 3 )血肿组产后出血、产后尿潴留、产后会阴切口感染与对照组相比有差异。结论 :为预防和早期发现产道血肿 ,减少阴道分娩并发症 ,必须做好以下工作 :( 1)做好围产保健工作 ,防治妊高征 ,预测巨大儿 ,产前治疗阴道炎 ;( 2 )规范催产素的使用 ;( 3 )提高助产及缝合技术 ,加强产后观察及护理 ;( 4 )对凝血功能障碍患者及时补充凝血因子 。Objective:To raise awareness of hematoma of birth canal and take active steps for its management and prevention. Methods: Retrospective analysis was made on 118 women with hematoma of birth canal and 1279 women with normal delivery in the corresponding period.Results:(1)Application of obstetric forceps might result in hematoma;(2)Problems such as macrosomia, vaginitis, hypertension,lacerated wound of birth canal,and shortened 2nd stage of labor(<25 min) were high risk factors for hematoma,which showed a higher incidence in hematoma group than those in control group;(3)There was difference between hematoma group and control group in incidences of postpartum bleeding, urine retention, and incisional wound infection of perineum.Conclusion:To prevent birth canal hematoma and other postpartum complications,the following methods are suggested:(1) Highlight perinatal care by preventing hypertension,managing vaginitis and detecting macrosomia;(2)Accurate use of oxytocin;(3)Promote midwifery and suture techniques. Careful postpartum observation are very important;(4)For those who have dysfunction of blood coagulation, supplement of coagulation factors is suggested.

关 键 词：产道血肿 高危因素 产后并发症 预防 临床分析 

分 类 号：R714.464[医药卫生—妇产科学]