产后出血119例临床分析

Clinical analysis of 119 patients with postpartum hemorrhage

目的:分析引起产后出血的原因及防治措施。方法:对我院2009年1月～2011年12月119例产后出血患者进行回顾性分析。结果:产后出血的发生率为3.01%,其原因多种。宫缩乏力是产后出血最重要的原因占63.03%,胎盘因素次之占23.53%,软产道损伤占10.08%,凝血功能障占3.36%。产后出血发生率剖宫产高于自然分娩,经产妇高于初产妇,高龄产妇大于适龄产妇,分娩新生儿体重大于4000g者产后出血发生率明显提高,差异均有统计学意义(P<0.05)。结论:高危妊娠早期认识,及时产前检查,产时产后观察严密。正确处理产后出血,降低产后出血发生率。

Objectives： To analyze the cause, prevention and treatment methods for postpartum hemorrhage. Methods： Clinical data were analyzed retrospectively of 119 patients with postpartum hemorrhage who were admitted into our hospital from January 2009 to December 2011. Result： Postpartum hemorrhage was caused by many reasons. Its incidence is 3.01%. Uterine atony is the most important reason for postpartum hemorrhage, accounting for 63.03%, followed by placental factors, accounting for 23.53%. Soft birth canal injury accounted for 10.08% , and coagulation disorders took up 3.36%. The incidence of postpar- tum hemorrhage of cesarean section is higher than that of natural childbirth, and the incidence is higher in multipara than in pri- mipara, and it is higher in patients with older maternal age than in patients with average maternal age. Neonatals with weight greater than 4000g obviously increases the risk of postpartum hemorrhage. The differences were statistically significant. Conclu- sion ： The occurrence of postpartum hemorrhage can be reduced by early recognition of high - risk pregnancy, timely antenatal ex- amination, strict ante - partum observation and correct treatment of postpartum hemorrhage.