129例剖宫产出血临床分析

Clinical Analysis of 129 Cases of Cesarean Section Hemorrhage

目的探讨剖宫产出血的原因及剖宫产指征与剖宫产出血的关系.方法对1999年1月～2005年6月行剖宫产出血的129例临床资料进行回顾性分析.结果 129例剖宫产出血病例中:宫缩乏力81例,占62.79%;胎盘因素30例,占23.26%;切口撕裂3例,占2.33%;晚期产后出血1例,占0.78%.社会因素为指征的剖宫产出血14例,占10.85%.结论剖宫产出血率明显高于阴道分娩出血率;宫缩乏力是剖宫产出血的首要因素;社会因素的剖宫产出血应引起社会和医务人员的重视.

Objective To explore the cause of cesarean section hemorrhage and the relationship between cesarean section signs and cesarean section hemorrhage. Methods To retrospectively analyze the clinical data of 129 cases of cesarean section hemorrhage from January 1999 to June 2005. Results In the 129 cases of cesarean section： Uterine inertia 81 cases （ 62.79 %） ; Placenta factors 30 cases （23.26%） ; Uterine blade laceration 3 cases （2.33%）;Late postpartum hemorrhage 1 case （0. 78%）. Cesarean section hemorrhage of society factors 16 cases （12.40%）. Conclusions The rate of cesarean section hemorrhage is significantly higher with vaginal delivery hemorrhage; The first factor of cesarean section hemorrhage is uterine inertia; Attention should be paid on cesarean section hemorrhage of society factors of society and medical service department.