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产后失血性休克是产后出血所致的低血容量性休克,是产科严重并发症,是导致产妇死亡的主要原因之一。本文分析了我院1986年1月～1998年12月发生的72例产后失血性休克,探讨了失血性休克的救治,供临床处理参考。 1 临床资料 1.1 病例来源:1986年1月～1998年12月我院共分娩20768例,发生产后出血317例,其中失血性休克72例;休克组年龄22～38岁,妊娠37～42~(+3)周,经产妇10例,剖宫产37例,自娩25例(产钳6例,胎吸2例),失血量500～3250ml不等。2例发生DIC,8例并发妊娠高血压综合征,1例合并
Postpartum hemorrhagic shock is hypovolemic shock caused by postpartum hemorrhage, which is a serious obstetric complication and one of the major causes of maternal death. This article analyzes 72 cases of postpartum hemorrhagic shock occurred in our hospital from January 1986 to December 1998, and discussed the treatment of hemorrhagic shock for clinical treatment reference. 1 Clinical data 1.1 Case source: January 1986 ~ December 1998 a total of 20,768 cases of childbirth in our hospital, postpartum hemorrhage occurred in 317 cases, including hemorrhagic shock in 72 cases; shock group aged 22 to 38 years of age, 37 to 42 days of pregnancy ( +3) weeks, the maternal 10 cases, 37 cases of cesarean section, 25 cases of childbirth (forceps 6 cases, 2 cases of fetal suck), blood loss of 500 ~ 3250ml range. 2 cases of DIC, 8 cases of pregnancy-induced hypertension, 1 case of merger