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目的探讨产后出血的原因,提出合理的防治措施,降低孕产妇的死亡率。方法对我院2008年1月至2012年12月发生的产后出血病例,进行回顾性分析。结果在9 869例产妇中,发生产后出血者287例,发生率为2.91%。导致产后出血的主要原因依次为子宫收缩乏力(73.17%),胎盘因素(14.98%),软产道裂伤(10.10%),凝血功能障碍(1.39%)。结论产后出血是产科常见的并发症,受多种因素影响,应及时采取相应的预防措施,减少产后出血,降低孕产妇死亡率。
Objective To explore the causes of postpartum hemorrhage and put forward reasonable prevention and cure measures to reduce the maternal mortality rate. Methods A retrospective analysis of postpartum hemorrhage occurred in our hospital from January 2008 to December 2012 was performed. Results Among 9 869 mothers, 287 had postpartum hemorrhage, with a rate of 2.91%. The main causes of postpartum hemorrhage were as follows: uterine atony (73.17%), placenta factor (14.98%), soft birth canal (10.10%) and coagulation dysfunction (1.39%). Conclusions Postpartum hemorrhage is a common complication of obstetrics. Due to many factors, appropriate measures should be taken in time to reduce postpartum hemorrhage and reduce maternal mortality.