产后出血高危因素临床分析与治疗研究

Analysis of high risk factors and management of postpartum hemorrhage

目的探讨产后出血的高危因素及预防治疗措施,以降低孕产妇的死亡率。方法回顾性分析2010年12月—2011年11月期间在收治的77例产后出血患者的临床资料,结合文献总结评价产后出血的高危因素、病因、预防和治疗手段。结果产后出血的发生与孕周、胎儿体质量、分娩方式、流产史等因素密切相关。子宫收缩乏力是最主要病因,其次为胎盘因素。结论针对高危因素,积极预防,采取积极合理的对因,及对症抗休克、抗感染治疗措施,严格掌握剖宫产指征,合理补液,对于降低产后出血及产妇死亡率起着重要的作用。

Objective To explore the high risk factors and management of the clinical documents of the patients with postpartum hemorrhage（PPH） from Dec. 2010 to Nov. 2011. Methods Retrospective analysis was used to study the clinical data from 77 patients with PPH in one year, summarized the rick factors, etiology, prevention and treatment of postpartum hemorrhage. Results The risk factors associated with postpartum hemorrhage conclude gestatianal weeks, birth weight, mode of delivery, multiple gestation. Conclusions Uterine inertia is the main cause of the disease fol- lowed by the retained placenta（ including accreta） ,measures for control of PPH should take comprehensive consideration.