产后出血患者临床特征和输血输液特点分析  

Analysis of Clinical Characteristics and Transfusion Characteristics of Postpartum Hemorrhage Patients

作　　者：金爽 杨婧[1] 侯婷 戴薇[1] JIN Shuang;YANG Jing;HOU Ting;DAI Wei(Guizhou People's Hospital,Guiyang,Guizhou 550002,China)

机构地区：[1]贵州省人民医院,贵州贵阳550002

出　　处：《大医生》2020年第9期27-29,共3页Doctor

摘　　要：目的分析不同出血量产后出血患者的临床特征,以及在临床治疗中输血和输液的特点,为产后出血的临床治疗提供理论参考。方法回顾分析贵州省人民医院妇产科2009年4月至2019年5月收治的224例产后出血患者的临床资料,依据其出血量的不同,划分为≤1500 mL组(A组78例)、1500~2500 mL组(B组76例)和≥2500 mL组(C组70例),分析三组的临床特征和输血输液的特点。结果三组患者在年龄、体质量、人流及刮宫次数以及产次等4个方面比较差异有统计学意义(P<0.05)。C组患者输晶体液、胶体液和新鲜血浆的量明显高于A组和B组,差异有统计学意义(P<0.05)。三组患者血常规最低血红蛋白(HB)、红细胞比容(Hct)和血小板(PLT)与出院前的相对应指标比较,差异均有统计学意义(P<0.05)。结论产妇年龄越大、体质量越大、人流及刮宫次数和产次数越多,其发生产后出血时的出血量越大。随着出血量的增多,患者需要输晶体液、胶体液和新鲜血浆的量逐渐增大,但患者输注红细胞的量差别不大。对于产后出血的患者,产妇的体质量、年龄、人流及刮宫次数和产次数属于产后出血量多的危险因素,医生在预判产妇出血量时应对上述因素给予充分考虑,以便提前做好输血和输液的相应治疗准备。Objective To analyze the clinical characteristics of different postpartum hemorrhage patients and the characteristics of blood transfusion and transfusion in clinical treatment,so as to provide theoretical reference for the clinical treatment of postpartum hemorrhage.Methods A total of 224 patients with postpartum hemorrhage admitted to Department of Obstetrics and Gynecology of Guizhou People's Hospital from April 2009 to May 2019 were retrospectively analyzed.According to the different amount of hemorrhage,they were divided into≤1500 mL group(Group A),1500~2500 mL group(Group B)and≥2500 mL group(Group C).The clinical characteristics and characteristics of blood transfusion in the three groups were analyzed.Results There were significant differences among the three groups in age,weight,body fluid,number of curettages and parity(P<0.05).The amount of crystalloid solution,colloidal solution and fresh plasma transfused in group C was significantly higher than that in group A and group B,and the difference was statistically significant(P<0.05).The lowest blood routine HB,Hct and PLT in the three groups were compared with the corresponding indicators before discharge,and the differences were statistically significant(P<0.05).Conclusion The older the parturient women are,the heavier their weight is,the more times of abortion,curettage and delivery are,the larger the amount of postpartum hemorrhage is.With the increase of blood loss,the amount of crystal body fluid,colloid fluid and fresh plasma needed to be transfused gradually increased,but the amount of red blood cells transfused was not large.For the patients with clinical postpartum hemorrhage,the weight,age,human flow,frequency of curettage and delivery times of the puerpera are the risk factors of postpartum hemorrhage.Doctors should give full consideration to the above factors when judging the amount of puerpera hemorrhage,so as to prepare for the corresponding treatment of blood transfusion and infusion in advance.

关 键 词：产后出血 输血 输液 

分 类 号：R47[医药卫生—护理学]