论文部分内容阅读
目的 :分析导致剖腹产术后出血的原因,总结临床止血措施,探讨有效的预防措施。方法 :选取2014年10月到2015年10月间于我院行剖腹产分娩并发生术后出血的80例产妇,回顾性分析其临床资料,分析出血原因。结果 :本组患者的术后出血量平均(963.4±17.6)ml,出血原因包括切口撕裂、子宫肌瘤、凝血障碍、胎盘因素和宫缩乏力,所占比例依次为16.25%、13.75%、8.75%、23.75%和37.5%。经过对症止血措施与精心的护理干预,产妇的生命体征逐渐平稳,出血量减少,出血情况显著改善,没有发生感染等并发症,不必行子宫切除术,无1例患者死亡,最终均痊愈出院。结论:若产妇剖腹产后发生术后出血,医护人员应尽快找到原因,结合出血量、医疗条件等实施针对性的止血治疗,降低出血率或不良影响。
Objective: To analyze the causes of bleeding after caesarean section, summarize the clinical measures to stop bleeding, and to explore effective preventive measures. Methods: From October 2014 to October 2015 in our hospital caesarean section delivery and postoperative bleeding 80 cases of maternal, retrospective analysis of the clinical data to analyze the causes of bleeding. Results: The average amount of postoperative bleeding in this group was (963.4 ± 17.6) ml. The causes of bleeding included incision laceration, uterine fibroids, coagulation disorders, placental factors and uterine atony. The proportions were 16.25%, 13.75% 8.75%, 23.75% and 37.5%. After symptomatic and hemostatic measures and meticulous nursing intervention, maternal vital signs gradually stabilized, blood loss decreased, bleeding was significantly improved, no complications such as infection occurred, and no hysterectomy was required. None of the patients died and eventually all were discharged. Conclusion: If the postpartum hemorrhage occurs after the cesarean section, the medical staff should find out the reason as soon as possible, and combine the hemorrhage, medical conditions and other targeted hemostasis to reduce the bleeding rate or adverse effects.