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目的通过对产后出血患者的临床资料进行总结,分析分娩方式与产后出血的关系。方法对洛阳市妇女儿童医疗保健中心86例产后出血患者的临床资料进行回顾性分析,比较阴道分娩患者和剖宫产患者产后出血量、出血原因和处理方案。结果阴道分娩患者平均产后出血量为(813.3±20.6)ml,剖宫产患者为(1521.8±30.9)ml,二者比较差异有统计学意义(t=121.4,P<0.01)。阴道分娩产后出血的主要原因为子宫内膜炎和胎盘、胎膜残留;剖宫产产后出血的主要原因为子宫收缩乏力。结论剖宫产分娩后出血量较大,可威胁患者生命,临床应严格限定剖宫产手术指征,鼓励阴道分娩,减少产后出血。
Objective To summarize the clinical data of patients with postpartum hemorrhage and analyze the relationship between mode of delivery and postpartum hemorrhage. Methods The clinical data of 86 postpartum hemorrhage patients in Luoyang Women and Children Health Care Center were retrospectively analyzed. The postpartum hemorrhage, bleeding causes and treatment were compared between vaginal delivery and cesarean section. Results The average amount of postpartum hemorrhage was (813.3 ± 20.6) ml in vaginal delivery and (1521.8 ± 30.9) ml in cesarean section, the difference was statistically significant (t = 121.4, P <0.01). Vaginal delivery postpartum hemorrhage is mainly due to endometritis and placenta, fetal membrane residual; cesarean section postpartum hemorrhage is mainly due to uterine atony. Conclusion Cesarean section after delivery of a larger amount of bleeding can threaten the lives of patients, clinical indications should be strictly limited cesarean section to encourage vaginal delivery, reduce postpartum hemorrhage.