重度产后出血216例临床分析

Clinical analysis in 216 cases of massive postartum hemorrhage

目的探讨重度产后出血的原因、相关因素及预防、处理措施。方法对我院2000年1月—2008年12月216例重度产后出血进行回顾性分析。结果重度产后出血发生率为0.66%,出血原因按发生率高低依次为胎盘因素、宫缩乏力、软产道损伤、凝血机制障碍。结论正确处理前置胎盘,积极治疗宫缩乏力,正确处理产程,及时应用适宜抢救技术是重度产后出血抢救成功的关键。

Objective To investigate the reason, correlative factor, prevention and treatment of massive postpartum hemorrhage.Methods 216 massive postpartum hemorrhages from January 2000 to December 2008 were restrospectively analyzed in our hospital.Results The massive postartum hemorrhage rates is 0.66% in 32689 parturitions.the reason of massive postpartum hemorrhage in turn was placental reason, uterine, laceration of the lower genital tract and coagulation defects.Conclusion Correctly dealing with placenta previa, Reducing the uterine atony, correctly managing labor, adopting appropriate rescue measures in time are the keys to reduce the massive postpartum hemorrhage rate.