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目的探讨引起产后出血的临床影响因素及其预防措施,降低孕产妇的死亡率。方法对2011年10月～2012年10月在我院妇产科分娩发生产后出血的21例产妇资料进行回顾性临床分析。结果孕产妇1570例中发生产后出血21例,其发生率为1.34%。导致产后出血的原因中,子宫收缩乏力居首位16例(76.19%),其次胎盘因素3例(14.29%)导致产后出血的主要原因是子宫收缩乏力、胎盘因素和软组织损伤。结论要提高对产后出血的认识,严密观察产程,对产后出血的预防和正确及时处理极为重要。
Objective To explore the clinical factors that cause postpartum hemorrhage and its preventive measures to reduce maternal mortality. Methods Retrospective clinical analysis of 21 cases of postpartum hemorrhage in obstetrics and gynecology from October 2011 to October 2012 in our hospital. Results There were 21 cases of postpartum hemorrhage in 1570 pregnant women, the incidence rate was 1.34%. Among the causes of postpartum hemorrhage, 16 cases (76.19%) had uterine atony, followed by 3 cases (14.29%) of placenta. The main causes of postpartum hemorrhage were uterine atony, placental factors and soft tissue injury. Conclusion To improve awareness of postpartum hemorrhage, close observation of labor, postpartum hemorrhage prevention and correct and timely treatment is extremely important.