晚期产后大出血44例临床分析

The Clinical Analysis of 44 Cases with Late Postpartum Hemorrhage

目的:探讨晚期产后大出血的发生原因及防治措施。方法:对我院2003年2月-2010年2月收治的晚期产后大出血44例病例进行回顾性分析。结果:晚期产后大出血占同期住院分娩总数的0.61%,出血主要原因是胎盘胎膜残留;其次是子宫胎盘附着面感染或复旧不良、剖宫产术后晚期出血。44例患者经过药物及手术治疗均痊愈。结论:重视预防,及时诊断和正确处理,可降低晚期产后大出血的发生率。

Objective：To investigate the causes and measures of prevention and treatment of late postpartum hemorrhage.Methods：To analyze retrospectively the etiology and management of 44 cases of late postpartum hemorrhage in our hospital from Feb 2003to Feb 2010.Results：The rate of late postpartum hemorrhage in hospital of the same period was 0.61%.The main causes were retained placenta and membranes,endometritis and decidualitis,subinvolution of uterus,infection dehiscence and hemorrhage of caesarean incision in turn.By medication and surgery therapy,all patients recovered from the illness.Conclusion：Attention to prevention,prompt diagnosis and adequate treatment can reduce the incidence of late postpartum hemorrhage.