产后出血120例病因分析及临床处理  

Analysis of causes and clinical treatment of 120 cases of postpartum hemorrhage

作　　者：黄若玲[1] 黄雪云[1] 

机构地区：[1]广东省普宁市人民医院产科,515300

出　　处：《中国实用医刊》2016年第20期54-56,共3页Chinese Journal of Practical Medicine

摘　　要：目的探讨产妇发生产后出血的原因及临床处理方法。方法对2013年1月至2015年12月分娩的120例产妇发生产后出血的原因进行统计，并比较产后出血的产妇不同分娩方式的产后出血量、产后出血发生时间，同时与120例同期收治且未发生产后出血的产妇的预防措施实施情况进行比较。结果在120例产后出血的产妇中，主要的产后出血原因有宫缩乏力、软产道损伤及胎盘因素，构成比分别为67．50％、14．17％、10．00％；剖宫产与阴道自娩的产后出血发生时间对比，差异未见统计学意义（P〉0．05），但剖宫产的产后出血量显著高于阴道自娩产妇，差异有统计学意义（P〈0．05）；发生产后出血产妇的孕期保健、产程处理及围生期保健等预防措施实施率均显著低于未发生产后出血产妇，差异有统计学意义（P〈0．05）；产后出血患者全部救治成功，4例保守治疗无效者，给予子宫次全切除术治疗后，成功止血。结论产后出血与宫缩乏力、软产道损伤及胎盘因素等有关，应鼓励产妇选择阴道自娩，及时实施产后出血的相关处理与预防措施，才能有效降低产后出血发生率。Objective To investigate the causes and clinical treatment of maternal postpartum hemorrhage. Methods The causes of bleeding after delivery of 120 cases of maternal delivered from January 2013 to December 2015 were counted, the amount of bleeding after delivery, postpartum hemor- rhage time of different delivery modes of bleeding after delivery of maternal were compared. At the same time, 120 maternal without postpartum bleeding whose implementation of preventive measures were compared. Results The main cause of postpartum hemorrhage were uterine atony, injury of soft birth canal and placental factors in 120 cases of maternal postpartum hemorrhage 67.50%, 14. 17%, 10. 00%. There was no significant difference in , constituent ratios were respectively the postpartum hemorrhage time between cesarean section and vaginal nature delivery （P 〉 0. 05 ）. But maternal health care during pregnan- cy, delivery process treatment and perinatal health care and the implementation rate of prevention measures of maternal postpartum hemorrhage were significantly lower than those of maternal without postpartum hemorrhage, the differences were significant （P 〈 0. 05 ）. All patients with postpartum hemorrhage were treated sucessfully, there were four cases of ineffective conservative treatment, given subtotal hysterecto- my after treatment, successful hemostasis was achieved. Conclusions Postpartum hemorrhage is correlated with uterine inertia, placenta, soft birth canal injury and other factors. Encourage mothers to choose vaginal nature delivery, timely implementation of postpartum hemorrhage related treatment and prevention measures, can effctively reduce the incidence of postpartum hemorrhage .

关 键 词：病因分析 产后出血 分娩方式 临床处理 

分 类 号：R714.461[医药卫生—妇产科学]