晚期产后出血的病因及临床分析

Etiology and clinical analysis of late postpartum hemorrhage

目的：分析晚期产后出血的原因及防治措施。方法：回顾性分析1994年5月-2010年2月在我院治疗的68例晚期产后出血患者,其中20例入院时已出现失血休克,另48例均有不同程度的贫血,入院后立即给吸氧、输血、输液、纠酸、宫缩剂及抗菌药应用等处理。其中48例在输液、输血纠正休克等抢救下行诊刮术。结果：产后子宫局部感染是晚期产后出血的重要原因,其次是胎盘残留,分别占54.41%和29.41%。结论：为了预防和降低晚期产后出血发生率,其关键措施是加强产期阴道细菌学检查及减少人工流产。

Objective：To analyze the causes and treatment of late postpartum hemorrhage.Methods：68 patients on admission in 20 patients with hemorrhagic shock has occurred,and the other 48 patients with varying degrees of anemia,immediately after admission to the oxygen blood transfusion,infusion,correct acid,antibiotics and other treatment agents and contractions.48 cases in which the infusion,blood transfusion to correct shock rescue down curettage surgery.Results：Postpartum Uterine infections are a major cause of late postpartum hemorrhage,followed by the residual placenta,accounting for 54.41% and 29.41%.Conclusion：In order to prevent and reduce the incidence of late postpartum hemorrhage,the key measures is to strengthen the capacity of the vaginal bacteriological examination and to reduce abortion.