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目的探讨剖宫产出血的原因,为预防和治疗提供科学依据。方法回顾性分析2002年5月至2006年5月间对我院行剖宫产出血的产妇进行统计分析。结果剖宫产率40.2%,产后出血占剖宫产总数的5.8%,术中出血占97.5%,子宫收缩乏力出血发生率23%,前置胎盘出血发生率19%,无晚期产后出血发生。结论剖宫产出血常发生在术中、术后2小时内,医师应加强健康教育,重视产前检查,认真观察和处理产程,严格掌握剖宫产指征及时机。
Objective To investigate the causes of cesarean section bleeding and provide a scientific basis for prevention and treatment. Methods A retrospective analysis of May 2002 to May 2006 in our hospital cesarean section bleeding maternal statistical analysis. Results Cesarean section rate was 40.2%, postpartum hemorrhage accounted for 5.8% of the total number of cesarean section, intraoperative bleeding accounted for 97.5%, uterine atony of bleeding 23%, placenta previa 19%, no postpartum hemorrhage occurred. Conclusions Cesarean section bleeding usually occurs during operation. Within 2 hours after operation, physicians should strengthen health education, attach importance to prenatal examination, carefully observe and manage labor process, and strictly grasp indications and timing of cesarean section.