阴道分娩后出血的抢救及预防

Treatment and Prevention of Postpartum Hemorrhage of Vaginal Delivery

目的:探讨引起产后出血的原因及防治措施。方法:对41例阴道分娩后2小时内出血量≥400ml的产妇的临床资料进行回顾性分析。结果阴道分娩后出血主要原因为宫缩乏力35例(73.17%)、软产道裂伤2例(4.88%)、胎盘胎膜残留、子宫破裂、脂肪肝和羊水栓塞各1例(2.44%)。40例治愈。死亡1例。结论产后出血是受多种因素影响,多发生在产后2h内。规范孕产期保健,提高医务人员业务水平,加强产后2h内监测,早期治疗是预防和抢救产后出血的关键。

Objective:To investigate the cause,prevention and treamtment of postpartum hemorrhage.Methods 41 cases of vaginal delivery within 2 hours whose blood loss is more than 400ml were analysed.retrospectively.Results Uterine atony was the most common cause of postpartum hemorrhage 35(73.17%),lesion of birth canal led to 2(4.88%) of postpartum hemorrhage,other cases were retained placental fragments 1(2.44%),uterine rupture 1(2.44%),fatty liver 1(2.44%) and amniotic fluid embolism 1(2.44%).40 patients were cured.One died.Conclusion Postpartum hemorrhage is affected by multi-factors.To prevent and rescue postpartum hemorrhage,we should promote the maternal health care and medical staff's professional skills,strengthen monitoring within 2 hours after delivery and treat hemorrhage early.