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目的:具体分析产妇产后出血的病因以及行之有效的临床治疗措施,以提高产科工作质量。方法:对我院2007年至2012年期间住院的分娩的90例产后出血患者的临床资料进行全面性回顾分析,具体分析患者发生产后出血的病因以及临床治疗措施。结果:综合产后出血患者的具体情况来看,其发生产后出血病因较多:宫缩乏力、子宫因素、胎盘因素、软产道损伤、凝血功能障碍。其中,以宫缩乏力(61%)以及胎盘因素(22%)表现的最为明显。根据患者具体产后出血表现行宫腔纱布填塞术、B-lynch缝合术、宫腔内水囊压迫止血法治疗,最终临床效果满意。结论:宫缩乏力、胎盘因素均为产妇产后出血的高危病因,对其采取有效的治疗措施,能够直接提高产妇的生命安全质量。
OBJECTIVE: To analyze the cause of postpartum hemorrhage and the effective clinical treatment measures to improve the quality of obstetric work. Methods: The clinical data of 90 postpartum hemorrhage patients hospitalized for delivery from 2007 to 2012 in our hospital were retrospectively analyzed. The causes of postpartum hemorrhage and the clinical treatment measures were analyzed. Results: Comprehensive postpartum hemorrhage in patients with specific circumstances, its causes of postpartum hemorrhage are more: uterine inertia, uterine factors, placental factors, soft birth canal injury, coagulation disorders. Among them, the most obvious manifestations of uterine inertia (61%) and placental factors (22%). According to the patient’s specific postpartum hemorrhage showed intrauterine gauze packing, B-Lynch suture, intrauterine balloon compression hemostasis treatment, the final clinical results were satisfactory. Conclusions: Uterine atony and placenta are the high risk causes of postpartum hemorrhage. Taking effective treatment measures can directly improve the quality of life and safety of the mother.