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目的:探讨产后出血的临床表现及诊治情况,提出合理的干预措施。方法:在我院治疗的60例产后出血产妇相关因素进行回顾性分析。结果:产后出血最常见的因素为子宫收缩乏力,胎盘因素,软产道损伤及凝血功能障碍,其中宫缩乏力是引起产后出血的首要因素,这些因素可以共同存在,也可以互相影响,互为因果。结论:降低产后出血的重要措施是提高产科质量,加强产前保健,产前积极治疗基础疾病。充分认识到产后出血的高危因素,高危孕妇应于分娩前转到有输血和抢救条件的医院。积极处理第3产程,降低孕产妇死亡率。
Objective: To investigate the clinical manifestations and diagnosis and treatment of postpartum hemorrhage and put forward reasonable intervention measures. Methods: The related factors of 60 postpartum hemorrhages in our hospital were analyzed retrospectively. Results: The most common causes of postpartum hemorrhage were uterine atony, placenta, soft birth canal injury and coagulation dysfunction. Uterine atony was the primary factor causing postpartum hemorrhage. These factors could coexist and influence each other. . Conclusion: The important measures to reduce postpartum hemorrhage are to improve the quality of obstetrics, strengthen prenatal care and actively treat basic diseases before delivery. Fully aware of the high risk factors for postpartum hemorrhage, high-risk pregnant women should be transferred to the hospital before the delivery of blood transfusion and rescue conditions. Actively handle the third stage of labor, reduce maternal mortality.