产后出血临床分析50例

Clinical analysis of 50 cases of postpartum hemorrhage

目的:探讨产后出血的相关因素及防治措施。方法:收治产后出血产妇50例,进行回顾性分析,探讨产后出血的相关因素并采取积极有效的措施。结果:共有2532例产妇分娩,其中产后出血50例,发生率1.97%。出血量500~1000ml 43例,1001~1500ml 4例,>1500ml 3例。子宫收缩乏力38例(76.0%),胎盘因素8例(16.0%),软产道损伤4例(8.0%)。剖宫产20例(40.0%),经阴道分娩30例(60.0%),产程1.5~13小时,平均5.6小时。单胎47例(94.0%),双胎3例(6.0%),其中巨大儿6例(12.0%)。结论:子宫收缩乏力、胎盘因素、软产道损伤是导致产后出血的主要因素。

Objective:To investigate the related factors of postpartum hemorrhage and preventive measures.Methods:Admitted 50 cases of postpartum hemorrhage from February 2010 to March 2012,were analyzed retrospectively,to investigate the related factors of postpartum hemorrhage and take positive and effective measures.Results:A total of 2532 cases from 2010 February to 2012 March delivery in,among the 50 cases of postpartum hemorrhage,the incidence was 1.97%.The amount of bleeding in 43 cases of 500~1000ml,1001~1500ml in 4 cases,and 3 cases of 1500ml.The weakness of uterine contraction in 38 cases(76%),8 cases of placental factors(16%),4 cases of injury of soft birth canal(8%).Cesarean section in 20 cases(40%),vaginal delivery in 30 cases(60%),the production process of 1.5~13 hours,average 5.6 hours.Singleton in 47 cases(94%),3 cases of twin(6%),including 6 cases of macrosomia(12%).Conclusion:Uterine inertia,placenta factor,injury of soft birth canal is the main factors of postpartum hemorrhage.