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目的:分析产后出血的危险因素,探讨产后出血的防治措施。方法:对我院产科3年间所收治的103例产后出血病例进行回顾性分析。结果:按期进行孕期保健的孕妇产后出血的发生率明显低于未行孕期保健者,产前或(和)产时给予预防性干预的孕妇发生产后出血的比例明显低于未行干预者。平均孕产次高者产后出血的发生率较高。剖宫产比自然分娩更易发生晚期产后出血。宫腔纱布填塞术是一种方便、简洁,效果良好的治疗产后出血的方法。结论:根据不同的原因,采取正确有效的急救措施,可以减少产后出血,降低产后出血发生率。严格掌握剖宫产指征,降低剖宫产率;提高手术技巧,避免意外损伤,是减少产后出血的重要途径。
Objective: To analyze the risk factors of postpartum hemorrhage and to explore the prevention and treatment measures of postpartum hemorrhage. Methods: A retrospective analysis of 103 cases of postpartum hemorrhage admitted in obstetrics and gynecology department of our hospital in 3 years. Results: The incidence of postpartum hemorrhage in pregnant women who took regular medical care was significantly lower than that of those who did not. The proportion of postpartum hemorrhage in prenatal or (and) prenatal women who received preventive intervention was significantly lower than that of those who did not. The average incidence of postpartum hemorrhage second highest incidence of higher. Cesarean section is more prone to late postpartum hemorrhage than natural childbirth. Intrauterine gauze packing is a convenient, simple and effective method of treating postpartum hemorrhage. Conclusion: According to different reasons, to take the correct and effective first aid measures can reduce postpartum hemorrhage and reduce the incidence of postpartum hemorrhage. Strict control of cesarean section indications and reduce the rate of cesarean section; improve surgical skills to avoid accidental injury, is an important way to reduce postpartum hemorrhage.