产后出血75例诊疗分析

Diagnosis and treatment of postpartum hemorrhage 75 cases

目的探讨产后出血的原因、治疗方法以及预防措施。方法回顾性分析75例产后出血患者的临床资料。结果子宫收缩乏力50例,占66.7%;胎盘因素10例,占13.3%;产道损伤6例,占8%;凝血功能障碍4例,占5.3%;其他5例,占6.7%。41例行子宫按摩,9例行清宫术,6例缝合损伤产道,3例宫腔填塞纱布,2例行子宫切除术,无1例产妇死亡。结论产后出血是产科严重的并发症,积极预防是关键,发生以后要根据出血原因迅速采取相应的措施治疗,方能保证产妇的安全和健康。

Objective To investigate the causes of postpartum hemorrhage,treatment and preventive measures.Methods A retrospective analysis of 75 cases of postpartum hemorrhage in our hospital clinical data.Results Totally 50 cases of uterine inertia,accounting for 66.7%,placental factors in 10 cases,13.3%,birth canal injury in 6 cases,8%,coagulation disorders in 4 cases,5.3%,other 5 cases,accounting for 6.7%.41 cases of uterine massage,curettage in 9 cases,6 cases of suture damaged birth canal,uterine cavity packing gauze in 3 cases,2 cases with hysterectomy,no 1 case maternal deaths.Conclusions Postpartum hemorrhage is a serious obstetric complication,active prevention is the key,according to the causes of bleeding occurred and rapid treatment of appropriate measures taken in order to ensure the safety and health of mothers.