早期干预对阴道分娩产后出血的影响

目的:探讨产后出血的相关因素及早期干预措施在阴道出血中的临床价值,以减少产后出血或避免发展为难治性产后出血,降低产妇的死亡率。方法:对2005～2008年收治的经阴道分娩的3242例产妇资料进行回顾性分析。其中发生产后出血309例(9.53%),148例从基层医院转送而来,采取早期干预措施161例。观察患者早期采取干预措施对阴道产后出血的影响。结果:通过早期实施干预措施后,产妇产后出血量500一1100ml,无1例发展为难治性产后出血,也没有发生脏器损害及子宫切除。结论:早期干预可显著减少阴道分娩中产后出血量,避免发展为难治性产后出血,也减少因产后出血而损伤脏器及子宫切除,从而降低孕产妇死亡率。

Objective：To explore the related factors of postpartum hemorrhage, early intervention in the value of vaginal bleeding in order to reduce postpartum hemorrhage, to avoid the development of intractable postpartum hemorrhage, maternal mortality reduction. Methods：from January 2005 to December 2008 admitted to the maternity hospital by 3242 cases of vaginal delivery,309 cases of postpartum hemorrhage, accounting for 9. 53% ,of which 148 cases transferred from the lower levels from the hospital to take early intervention measures in 161 cases, Observation of the causes of postpartum hemorrhage inpatients with early - intervention measures on the impact of vaginal bleeding after childbirth. Results：The intervention measures taken by the early post - partum bleeding in between 500 - 1100ml, none of the development of intractable postpartum hemorrhage, organ damage and no case occurred and hysterectomy. Conclusion：Early intervention can significantly reduce post - natal vaginal delivery in the amount of bleeding and avoid the development of intractable postpartum hemorrhage, postpartum hemorrhage and to reduce the organ injury and hysterectomy to reduce the maternal mortality rate.