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目的探讨剖宫产产后出血的原因及防治措施。方法选取本院自2012年7月~2013年7月收治的96例剖宫产后出血患者,并对其临床资料进行回顾性分析。结果产后0.5 h以及2 h出血发生88例(91.7%);多于产后2 h 8例(8.3%)。给予患者采取及时有效措施处理后,有1例接受子宫切除术治疗,1例出现失血性休克。无因出血而死亡的患者。引发剖宫产产后出血因素中,宫缩乏力所占比例最高,之后依次为前置胎盘、凝血功能障碍、妊娠期高血压、子宫切口下段裂伤。结论子宫收缩乏力、胎盘因素、手术操作不当等是导致剖宫产患者产后出血的几种主要因素。因此,提高产妇自我保健意识,定期进行产检,及时对产科高危因素进行纠正是减少剖宫产产后出血的关键。
Objective To investigate the causes and prevention measures of postpartum hemorrhage after cesarean section. Methods Ninety-six patients with post-cesarean section bleeding in our hospital from July 2012 to July 2013 were selected and their clinical data were retrospectively analyzed. Results Hemorrhage occurred at 0.5 h postpartum and 88 h at 2 h (91.7%), more than 8 h (8.3%) at 2 h postpartum. Give the patient to take prompt and effective measures to deal with, 1 case of hysterectomy, 1 case of hemorrhagic shock. No death due to bleeding in patients. Lead to cesarean section postpartum hemorrhage factors, the proportion of uterine inertia, followed by placenta previa, coagulation disorders, gestational hypertension, lower incision laceration. Conclusion Uterine atony, placental factors, improper surgical procedures are the main factors leading to postpartum hemorrhage in cesarean section patients. Therefore, to improve the awareness of maternal self-care, regular check-ups, timely correction of obstetric risk factors is to reduce the key to postpartum hemorrhage.