68例剖宫产术中出血的临床分析与预防措施

68 cases of cesarean section hemorrhage in clinical analysis and prevention measures

目的探讨剖宫产术中出血原因以及预防措施。方法选取2015年1月-2015年11月收治的剖宫产术中出血产妇68例,对其临床资料进行回顾性分析,分析剖宫产术中出血原因,并给出切实有效的预防措施。结果 68例剖宫产术中出血产妇中因胎盘因素产生出血的产妇22例（32.4%）;因凝血障碍产生出血的产妇14例（21.9%）;因切口异常产生出血的产妇12例（17.6%）;因宫缩乏力产生出血的产妇16例（23.5%）;因子宫肌瘤产生出血的产妇4例（5.9%）。结论剖宫产手术中引发产妇术中出血的因素主要有胎盘因素、凝血功能障碍、切口异常以及宫缩乏力等,应该在围产期根据产妇具体情况采取相对应的预防措施,并为产妇制定科学合理的治疗方法,确保剖宫产手术顺利进行。

Objective To investigate the causes and preventive measures of hemorrhage during cesarean section. Methods 68 cases of postpartum hemorrhage during cesarean section were selected from January 2015 to November 2015. The clinical data were retrospectively analyzed. The causes of bleeding during cesarean section were analyzed, and the effective measures were given. Results 68 cases of cesarean section surgery bleeding women due to placental factors produce maternal bleeding in 22 cases（32.4%）; because of blood coagulation disorders produce maternal hemorrhage in 14 cases（21.9%）, due to incision and produce abnormal maternal hemorrhage 12 cases（17.6%）; uterine inertia due to produce maternal hemorrhage in 16 cases（23.5%）; due to uterine fibroids have maternal bleeding in 4 cases（5.9%）. Conclusion Cesarean section caused by placental factors, coagulation dysfunction, abnormal incision and uterine atony, are the main factors of hemorrhage during cesarean section should be in the perinatal period to take corresponding preventive measures according to the specific situation of the maternal and maternal formulation scientific and reasonable treatment method, ensure the cesarean section operation smoothly.