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目的:为了预防产后出血,降低孕产妇的死亡率,探讨产后出血的原因和影响因素,从而有针对性地进行防治、护理。方法:对该院2004年1月～2007年1月所发生的产后出血进行回顾性分析。结果:发生产后出血48例,其发生率为3.40%。导致产后出血的原因中宫缩乏力占60.41%,胎盘因素占22.92%,软产道损伤占12.50%,凝血功能障碍占4.17%。结论:通过回顾性病例分析,发现产后出血的原因主要有宫缩乏力、胎盘因素、软产道损伤及凝血功能障碍。采取有效预防措施,可降低产后出血的发生,有助于产科质量的提高。
Objective: In order to prevent postpartum hemorrhage, reduce maternal mortality, explore the causes and influencing factors of postpartum hemorrhage, so as to carry out targeted prevention and treatment. Methods: The hospital from January 2004 to January 2007 occurred in postpartum hemorrhage were retrospectively analyzed. Results: Postpartum hemorrhage occurred in 48 cases, the incidence was 3.40%. The causes of postpartum hemorrhage in uterine atypia accounted for 60.41%, placental factors accounted for 22.92%, soft birth canal injury accounted for 12.50%, coagulation disorders accounted for 4.17%. Conclusion: Through retrospective case analysis, it is found that the main causes of postpartum hemorrhage are uterine atony, placental factors, soft birth canal injury and coagulation dysfunction. Take effective preventive measures can reduce the incidence of postpartum hemorrhage, contribute to improve obstetric quality.