产后出血的诊治研究

目的探讨产后出血的原因及预防措施。方法针对不同病，因予以止血抗感染、应用缩宫素、填塞宫腔、缝合裂伤、输血补液等处理。结果宫缩乏力212例，第二产程延长14例；胎盘因素44例，其中前置胎盘32例，胎盘粘连8例，胎盘残留4例；软产道裂伤18例；凝血功能障碍4例。出血时间发生在产后2h以内254例，2h以外26例。结论产后出血的关键是抢救及时，措施得当，因此产科医生必须有过硬的技术，才能及时发现并处理各种不利因素，以减少产后出血的发生。

Objective： To investigate the causes of postpartum hemorrhage and preventive measures. Methods： Anti- infection of different causes to stop the bleeding, application of oxytocin, uterine packing, suture lacerations, blood and other fluid handling. Results. 212 cases of uterine atony, the second stage of labor to extend the 14 cases, 44 cases of placental factors, of which 32 cases of placenta previa, placenta accreta in 8 cases, 4 cases of placental residue, Soft birth canal laceration in 18 cases, of coagulation dysfunction in 4 cases. Bleeding time in less than 254 cases of postpartum 2h, 2h than 26 cases. Conclusion, The key is to rescue postpartum hemorrhage timely and appropriate measures, the obstetrician must have strong technical, to promptly detect and deal with various negative factors, in order to reduce the incidence of postpartum hemorrhage.