产后晚期出血54例临床分析

Late Postpartum Hemorrhage: Clinical Analysis of 54 Cases

目的重点探讨引起晚期产后出血的临床原因。方法对1995-2005年我院收治的54例晚期产后出血资料进行回顾分析。结果本院晚期产后出血发生率为0.13%。晚期产后出血主要原因是胎盘胎膜残留、子宫复旧不良、宫腔感染及剖宫产子宫切口裂开。结论正确处理第三产程、严格掌握剖宫产指征、提高剖宫产技术、加强产褥护理,可有效降低晚期产后出血发生率。

Objective To study the cause of the postpartum hemorrhage. Methods All cases of late postpartum hemorrhage, during 1995 to 2005, were analyzed. Results The incidence of late postpartum hemorrhage was 0.13%. The main cause of late postpartum hemorrhage is retained placental fragment, subinvolution, uterine infection and uterine incision rupture after cesarean section. Conclusion It is important to advocate family planning, to treat the third birth stage correctly, to master the indication of cesarean section appropriately, to improve the skill of cesarean section and to strengthen nursing care in puerperium. The above methods can efficiently reduce the incidence of late postpartum hemorrhage.