产后出血91例临床分析

Clinical analysis of 91 cases of postpartum hemorrhage

目的探讨产后出血的原因及防治方法。方法对91例产后出血病例进行总结,分析病因,提出治疗和预防。结果主要危险因素为妊娠贫血、催产、巨大儿、妊高征。主要病因是宫缩乏力、胎盘、胎膜残留及软产道裂伤,均救治成功。结论重在预防,正确估计出血量,降低剖宫产率,提高助产技术。

Objective:To investigate the etiology,prevention and management of p ostpartum hemorrhage.Methods:91 cases of postpartum hemorrhage were amalysed an d summarized,the methods of treatment and precaution were put forward.Results:T he major dangerous factors were gestatinal anemia、urge to produce、fetal macros omia、PIH.The main causes were tried contraction of uterus、retained placenta an d membrane、vaginal tear in turn. These had all been cured.Conclusion:The empha sis should be put on preventing,evaluating the volume of bleeding correctly,decr easing the cesarean section rate,increasing the teachnique of obstetrics.