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目的探讨晚期产后出血临床治疗及预防。方法回顾分析35例患者的临床资料。结果本组35例晚期产后大出血的患者,经过治疗均获治愈。结论正确处理第三产程,严格掌握剖宫产手术的适应证,降低剖宫产率,提高剖宫产手术技巧,规范手术操作,合理选择手术切口,缝合肌层时不要穿透蜕膜致使缝线裸露于宫腔;严格掌握无菌技术操作,注意围手术期用药,手术后应用抗生素预防感染;产后软产道开放,产妇抵抗力下降,易发生感染,早期下床活动,定期哺乳进而刺激子宫收缩,保持外阴清洁,降低因产褥期感染而引起的晚期产后出血。
Objective To investigate the clinical treatment and prevention of late postpartum hemorrhage. Methods The clinical data of 35 patients were retrospectively analyzed. Results 35 patients with postpartum hemorrhage in this group were cured after treatment. Conclusions Proper management of the third stage of labor, strict cesarean section indications, reduce the rate of cesarean section, improve cesarean section surgical techniques, regulate the operation, a reasonable choice of surgical incision, suture the muscular layer do not penetrate the decidua caused by the seam Line exposed in the uterine cavity; strict control of aseptic technique, pay attention to perioperative medication, the application of antibiotics to prevent infection after surgery; postpartum soft birth canal open, decreased resistance to maternal, prone to infection, early ambulation, breast-feeding and then stimulate the uterus Shrink, keep the vulva clean, reduce postpartum hemorrhage caused by puerperal infection.