晚期产后出血43例的临床疗效观察

Clinical observation of 43 cases with the later postpartum hemorrhage

目的:探讨晚期产后出血的病因及治疗措施。方法:选择2003年1月～2010年1月收治的43例晚期产后出血患者进行回顾性分析,比较各种影响因素与晚期产后出血的关系。结果:晚期产后出血的主要病因为胎盘、胎膜残留,子宫内膜炎、蜕膜炎,子宫切口愈合不良、子宫复旧不良等。结论:晚期产后出血是产科的严重并发症,针对各种高危因素,采取早期预防及监测,积极治疗,是降低晚期产后出血发生率的关键,并且治疗以清宫为主,对稳定性出血者可行子宫切除术。

Objective：To investigate the cause of later postpartum hemorrhage and treatment measures. Methods：Selected 43 patients with later postpartum hemorrhage from January 2003 to January 2010 ,and who were retrospectively analyzed to compare the various effects of factors and later postpartum hemorrhage. Results： Later postpartum hemorrhage was the main illness of placenta and fetal membrane residue, endometritis, deeidual inflammation, uterine incision healing bad, incomplete uterine involution and so on. Conclusion： The later postpartum hemorrhage is a serious obstetric complications, for a variety of risk factors, to take early prevention and monitoring, active treatment is to reduce the incidence of late postpartum hemorrhage a key, and the treatment to urerine curettage mainly on the stability of the bleeding possible hysterectomy.