124例产后出血原因及防治措施分析

Cause,prevention and treatment of postpartum hemorrhage: 124 cases report

目的:分析产后出血原因及防治措施。方法:对124例产后出血患者临床资料进行回顾性分析。结果:宫缩乏力是产后出血的主要原因;胎盘因素、软产道损伤、凝血功能等因素均易引起产后出血;剖宫产较阴道分娩更易发生产后出血;对产妇进行孕期保健及产后出血防治措施干预可显著降低产后出血发生率。结论:产后出血是多种原因及多种高危因素所致,及早发现产后出血高危因素并及时对症处理是降低产后出血发生率的关键。

Objective：To analyze the causes,prevention and treatment of postpartum hemorrhage.Methods：Clinical data of 124 cases with postpartum hemorrhage were retrospectively analyzed.Results：Uterine inertia was the main cause for postpartum hemorrhage.Placental factors,injury of soft birth canal,coagulation and other factors were risks of postpartum hemorrhage.Compared with vaginal delivery,cesarean section was more likely to induce postpartum hemorrhage.Control and prevention measures and maternal health during pregnancy could significantly reduce the incidence of postpartum hemorrhage.Conclusions： Postpartum hemorrhage is caused by various reasons and risk factors.Early diagnosis of risk factors and timely symptomatic treatment are key measures to reduce its incidence.