产后出血的病因、诊断及治疗研究进展

Research Progress on Etiology,Diagnosis and Treatment of Postpartum Hemorrhage

产后出血是分娩期严重的并发症,也是导致产妇死亡的主要原因。因此,临床尽早诊断,明确产后出血的病因,准确评估病情,并及时给予有效治疗至关重要。产后出血的原因较多,如胎盘因素、高龄产妇、妊娠并发症等因素,严重威胁产妇的生命安全。临床对产后出血的诊断,不仅依据出血量进行判断,还需要重视血流动力学的改变。而对产后出血的治疗方法较多,主要包括手术治疗、药物治疗、介入治疗等,均具有一定的疗效。本文从产后出血的病因及表现入手,综述产后出血的诊断、治疗进展,进一步为预防产后出血、改善产妇产后出血的预后提供参考。

Postpartum hemorrhage is a serious complication during delivery and the main cause of maternal death.Therefore,early clinical diagnosis,clear etiology of postpartum hemorrhage,accurate assessment of the disease,and timely and effective treatment is essential.There are many reasons for postpartum hemorrhage,such as placental factors,elderly parturients,pregnancy complications and other factors,which seriously threaten the life safety of parturients.Clinical diagnosis of postpartum hemorrhage,not only based on the amount of bleeding to determine,but also need to pay attention to hemodynamic changes.There are many treatment methods for postpartum hemorrhage,including surgical treatment,drug treatment,interventional therapy,etc.,all of which have certain curative effects.This article reviewed the diagnosis and treatment of postpartum hemorrhage from the etiology and manifestations of postpartum hemorrhage,and provided reference for preventing postpartum hemorrhage and improving the prognosis of postpartum hemorrhage.