产后出血281例临床探讨

目的:探讨产后出血的原因及预防措施。方法:针对不同病因予以加强宫缩、缝合裂伤、填塞宫腔、纠正凝血功能障碍等处理。结果:宫缩乏力214例,第二产程延长29例;胎盘因素35例,其中胎盘粘连19例,前置胎盘14例,胎盘残留2例;软产道裂伤2例;凝血功能障碍1例。出血时间发生在产后2小进以内276例,2小时以外5例。结论:产后出血的关键是抢救及时,措施得当,因此产科医生必须有过硬的技术,才能及时发现并处理各种不利因素,针对各种病因采取相应措施,减少产后出血的发生。

Objective ：To explore the causes of postpartum hemorrhage and its prevention measures. Methods： According to different causes, to strengthen uterine suture laceration, uterine cavity padding, correction of coagulation dysfunction treatment. Results ：214 cases of uterine atony, prolonged second stage in 29 cases ;35 cases of placental factors, of which the placenta adhesion in 19 cases, 14 cases of placenta previa, residual placenta 2 cases; 2 cases of laceration of birth canal ;blood coagulation dysfunction in 1 cases. Bleeding time occurs in postnatal within 2H 276 cases, 2H 5 cases. Conclusion： Postpartum hemorrhage is the key to the timely rescue, measure is proper, the obstetrician must have excellent technology, can discover in time and handle various unfavorable factors,for a variety of causes and take corresponding measures, reduce the incidence of postpartum hemorrhage.