晚期产后出血56例临床分析

Clinical analysis of 56 cases of late postpartum hemorrhage

目的探讨晚期产后出血的常见原因、临床表现及处理方法。方法回顾性分析2000年1月至2009年12月昌吉州人民医院收治晚期产后出血的56例患者的临床资料，分析发生晚期产后出血的原因、临床表现、处理方法及预后。结果晚期产后出血的发生率为0．778％，其中子宫复旧不全占首位，发生率为48．21％，其次胎盘、胎膜残留所致，发生率为19．64％，再次为剖宫产术后子宫切口愈合不良，发生率为16．07％。结论采用积极防治措施可降低晚期产后出血发生率，挽救产妇生命。

Objective To investigate common cause, clinical manifestations and treatment measures of late postpartum hemorrhage. Methods Fifty-six cases of late postpartum hemorrhage from January 2000 to December 2009 were retrospectively analyzed to investigate the common cause, clinical manifestations and treatment of late postpartum hemorrhage. Results The incidence of postpartum hemorrhage late was 0. 778%, among them the uterus instauration of first rate was 48.21%, and the placenta, amniotic membranes caused by residual rate was 19.64%, once again, after cesarean section incision for the poor healing rate was 16.07 %. Conclusions The positive prevention and control measures, reduce the incidence of late postpartum hemorrhage, save mothers lives.