产后出血73例防治探讨

Clinical analysis on 73 cases of postpartum bleeding

目的探讨产后出血的原因及防治方法。方法对73例产后出血病例进行总结,探讨防治方法。结果主要危险因素为妊娠期合并症及病理妊娠,巨大儿,主要影响因素是宫缩乏力,胎盘因素,软产道损伤,凝血功能障碍。结论重在预防,正确估计出血量提高助产技术。

Objective： To investigate the pathology of postpartum bleeding and explore the prevention and treatment measures. Methods： Seventy- three patients in our hospital with postpartum bleeding were analyzed retrospectively. Results： The main risk factors are gestational complication and pathogenic gestitation, fetal macrosomia. The main pathogeny were inertia of uterine contraction, placental disorders, injury of obstetrical canal, coaugulation disorders. Conclusions： Prevention, accurate estimation of bleeding volume, improving midwifery technique play important in the treatment of postpartum bleeding.