晚期产后出血76例临床探讨

Clinical study on 76 patients with late stage postpartum hemorrhage

目的探讨引起晚期产后出血的临床原因。方法对1998～2007年我院收治的76例晚期产后出血患者资料进行回顾性分析。结果我院住院患者晚期产后出血发生率为0.31%。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。结论晚期产后出血的治疗以清宫为主,加强产褥期护理。

Objective To discuss the clinical causes for late stage postpartum hemorrhage. Methods This article is dealing with retrospective analysis of 76 patients with late stage postpartum hemorrhage admitted in this hospital from 2000 to 2007. Results The incidence of late stage postpartum hemorrhage in hospitalized patients in this hospital is 0. 18%. Main causes for late stage postpartum hemorrhage are retained placental and fetal membrane fragments, bad involution of uterus, intrauterine infection and split of uterine incision of cesarean section. Conclusion The treatment for these patients is mainly by cleaning of retained intrauterine fragments and strengthening nursing in puerperium.