产后出血83例原因分析及应对措施

Analysis of 83 Cases of Postpartum Hemorrhage Causes and Countermeasure

目的：探讨产后出血的原因及应对措施。方法：对2009年1月～2013年1月在山西省汾阳市人民医院妇产科分娩后出现产后出血的83例产妇进行回顾性研究分析。结果：发生产后出血有4大因素，其中子宫收缩乏力占产后出血总数的78．31％，是产后出血最常见原因，胎盘因素占15．66％，软产道损伤占4．82％，凝血功能障碍占1．20％。结论：临床上出现产后出血的原因很多，这些因素可单独存在也可互为因果。做好产前﹑产时﹑产后预防工作，可减少产后出血的发生率。

Objective：To explore the causes of postpartum hemorrhage and countermeasures .Methods：From January 2009 to January 2013 in Fenyang, Shanxi Province People＇s Hospital of Obstetrics and Gynecology , childbirth occurs after 83 cases of maternal postpartum hemorrhage were retrospectively analyzed .Results：There are four factors of postpartum hemorrhage , uterine inertia which accounted for 78.31%of the total number of postpartum hemorrhage is the most common cause of postpartum hemorrhage , placental factors accounted for 15.66%, the soft birth canal injury accounted for 4.82%, coagulation disorders accounted for 1.20%.Conclusion：The Clinical e-mergence of many of the causes of postpartum hemorrhage , these factors can exist alone can also be reciprocal causation .Prenatal,intrap-artum, postpartum work can reduce the incidence of postpartum hemorrhage .