有效预防产后出血的探讨

The Discuss of Effective Preventing about Postpartum Hemorrhage Patients

目的总结产后大出血的病因和预防、监测、护理措施。方法对48例产后出血达500mL以上产妇的临床资料进行分析。结果子宫收缩乏力是引起产后出血的主要因素,其次为胎盘因素,有产后出血危险因素存在的孕产妇易出现产后出血,出血量超过1500mL以上严重危及生命。结论重视产后出血的防治与护理工作,以降低产后出血的发生及产妇的病死率。

Objective To determine the causes, prevention, monitoring and nursing of postpartam hemorrhage. Methods Clinical data of 48 cases with more than 500mL postpartum hemorrhage were analyzed. Results Poor contraction of postpartum uterus was the main cause of postpartum hemorrhage, compared with other causes of bleeding, there was significant difference （P〈0.05）; the following cause of postpartum hemorrhage involved placenta. Of the relevant causes of postpartum hemorrhage, there was significant difference between maternal high risk factors as the main factors and no maternal high risk factors （P〈0.05）; postpartum hemorrhage was ready taking place in those with risk factors, the life-threatening volume of bleeding was 1500mL and more. Conclusion Adequate prevention and treatment of postpartum hemorrhage and nursing are important for the reduction of postpartum hemorrhage and maternal mortality rates.