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目的:分析剖腹产过程中产妇出血原因,并以此制定有效的预防对策,减少产妇出血事件的发生。方法:从2010年1月到2014年1月在我院实施剖腹产的产妇中选取52例,本次研究所有产妇均出现剖腹产术中出血情况,根据各产妇临床情况,分别给予如:药物治疗、缝扎止血、按摩子宫、宫腔填塞纱布、子宫动脉结扎、子宫切除、等止血措施,并从中分析产妇出血原因,制定相应的预防对策。结果:52例出血产妇中有12例出血原因为胎盘因素(23.08%),9例为凝血障碍所致(17.31%),18例为宫缩乏力所致(34.62%),7例为子宫肌瘤所引发(13.46%)。6例为产妇切口撕裂(11.54%),给予所有术中出血产妇对症治疗后,均恢复稳定生命体征,无一例死亡。结论:剖腹产出血原因主要有胎盘因素、宫缩乏力、凝血障碍、切口撕裂以及子宫肌瘤等诱发因素,在剖腹产手术实施前应当根据产妇相关临床情况、基础疾病等分析是否存在出血风险,并预先制定不同因素的应对方案,一旦出现术中出血事件,需立即采取相应治疗。
Objective: To analyze the cause of maternal bleeding during caesarean section and to develop effective preventive measures to reduce the occurrence of maternal bleeding. Methods: From January 2010 to January 2014 in our hospital for the implementation of Caesarean section of 52 maternal choice, all mothers in this study have caesarean section bleeding, according to the clinical situation of women, were given such as: drug treatment, Suture stop bleeding, massage the uterus, uterine packing gauze, uterine artery ligation, hysterectomy, and other measures to stop bleeding and maternal bleeding from the analysis of the causes, to develop appropriate preventive measures. Results: Twelve of the 52 bleeding women were placenta (23.08%), 9 were caused by coagulopathy (17.31%), 18 were uterine atony (34.62%), and 7 were myometrium Tumor-triggered (13.46%). 6 cases of maternal tear (11.54%), giving all intraoperative bleeding maternal symptomatic treatment, were restored to stable vital signs, no one died. CONCLUSIONS: The causes of caesarean section bleeding mainly include placenta, uterine inertia, coagulopathy, incision laceration and uterine fibroids. Before Caesarean section, the risk of bleeding should be analyzed according to the maternal related clinical conditions and underlying diseases Pre-set different coping strategies, once the intraoperative bleeding occurs, need to take appropriate treatment immediately.