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产后出血68例临床分析

Clinical analysis of 68 cases of postpartum hemorrhage
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摘要 目的探讨产后出血的病因、时间及防治措施。方法回顾性分析68例产后出血患者的病因及处理。结果产后出血主要原因为宫缩乏力(占88.24%)、胎盘胎膜残留(占7.35%)、组织裂伤(占4.41%),且多发生在24 h内。结论产时、产后重点在24 h内加强监测,及时有效预防宫缩乏力是减少出血的根本。治疗上积极促进宫缩为主,同时抗休克治疗,清宫及时缝合伤口止血。 Objective To investigate the cause, diagnosis and treatment of postpartum hemorrhage. Methods A retrospective analysis was performed in 68 patients with postpartum hemorrhage. Results Uterine atony was the most common cause of postpartum hemorrhage ( 88. 24% ), retained placental fragments led to 7.35% of postpartum hemorrhage, 4.41% were due to trauma in genital tract, most of postpartum hemorrhage occurred 24 hours after birth. Conclusion The treatment of postpartum hemorrhage include medication to stimulate uterine contractions, prevention of shock, appropriate surgical repair.
作者 杜红梅
出处 《中国实用医药》 2009年第17期51-52,共2页 China Practical Medicine
关键词 产后出血 宫缩乏力 预防 Postpartum hemorrhage Uterine atony Prevention
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