35例晚期产后大出血临床分析

Clinical analysis of 35 cases with late postpartum hemorrhage

目的 :提高晚期产后大出血预防及治疗方法。方法 :对我院 1989年 10月～ 1999年 9月收治的 35例晚期产后大出血进行回顾性分析。结果 :晚期产后大出血占同期住院分娩总数的 0 .15 % (我院为 0 .11% ) ,占同期产后出血的 9.16 %。出血原因主要是胎盘胎膜残留 ,其次是子宫复旧不良 ,产褥期感染 ,子宫切口感染、裂开。本组病例采取清宫术、宫缩剂及抗感染等对症治疗 ,2例行次全宫切除术 ,1例行全宫切除术。结论 :重视预防 ,及时诊断和正确处理 ,可降低晚期产后大出血的发生率。

Objective: It is to enhance the prevention and treatment of Late postpartum hemcorrhange. Methods: 35 cases with late postpartum hemorrhage hospitalized in our hospital from October 1989 to September 1999 were analyzed retrospectively. Results: The rate of cace postpartum hemorrhage in delivery in hospital of the same period is 0.15%(0.11% in our hospital), accounting for 9.16% of postpartum hemorrhage. The cause of it were mostly retained placental tissue or membranes, subinvolution of uterus, puerperal infection, uterine incision infection and dehiscence of cesaean section following. An the cases were treated with uterine curettage, oxytocics and antibiotics, 2 cases with subtotal hysterectomy, 1 case with total hysterectomy. Conclusion: Attention to prevention, prompt diagnosis and adequate treatment can reduce the incidence of late pospartum hemorrhage.