晚期产后出血48例临床分析

Late postpartum hemorrhage of 48 cases

目的探讨晚期产后出血的病因及防治措施。方法回顾性分析48例晚期产后出血的病因及处理。结果主要病因依次为胎盘、胎膜残留、蜕膜残留和(或)子宫内膜炎,子宫复旧全以及剖宫产术的子宫切口愈合不良等。结论治疗以清宫为主,加宫缩剂止血剂,积极抗炎,对反复出血或急性大出血可行子宫切除术。

Objective To investigate the cause of late postpartum hemorrhage and the prevention and control measures. Methods A retrospective analysis of 48 cases of postpartum hemorrhage of Advanced causes and treatment. Results The results were a major cause of the placenta, fetal membrane residues, residues and decidual （or） endometritis, as well as the full restoration of uterine cesarean section of the uterine incision to heal, and other non-performing. Conclusions Treatment with the main conclusions of the Palace of Heavenly Purity, plus agent uterine bleeding agent, an active anti-inflammatory, and repeated acute massive hemorrhage or possible hysterectomy.