产后大出血集束化管理策略

Standardized bundles on postpartum hemorrhage

产后出血(PPH)是产科最常见的急危重症,是全球范围内导致孕产妇死亡的最常见原因。早期诊断和治疗是改善孕产后出血产妇预后的关键。一旦高度怀疑或明确诊断为PPH,应立即建立多学科组成的诊疗小组,分析出血原因,评估严重程度,在针对病因治疗的同时重视并发症的处理。本文基于国内外重要临床研究、权威指南和共识,参照循证医学证据,就PPH的识别、评估和应急救治流程提供诊疗意见,助力提高相关医务人员对PPH的认识和救治成功率。

Postpartum hemorrhage(PPH)is a leading cause of severe maternal morbidity and mortality worldwide.Early diagnosis and treatment are the key to improve the outcome for patients with PPH.Once PPH is highly suspected or diagnosed,the bundle implementation process,including careful assessment the causes of bleeding,evaluation of the severity,treatment for the causes and complications should be performed by a relevant multidisciplinary team immediately.This study has provided early recognition,assessment and treatment advice concerning PPH identification,evaluation and relevant treatment procedures based on the clinical studies,authoritative guidelines,and consensus all over the world with evidence-based medical evidence as reference,so as improve our understanding of PPH and increase relevant treatment success rate.