论文部分内容阅读
目的:探析产后出血的临床测定、直接发生原因、相关因素以及救治情况。方法:选取2010年1月-2013年1月接收的150例产后出血患者,均在分娩中进行出血量测定,并及早查找原因进行救治;对发生产后出血发生的基本相关因素以及直接原因分别予以分析。结果:自然分娩组产妇、初产妇以及不具流产/引产史的产妇发生产后出血的几率均相对更低;因宫缩乏力而致产后出血的比率明显更高;另外,自然分娩与剖宫产产妇发生产后出血的直接原因均主要为宫缩乏力;其次,自然分娩产妇因软产道损伤致发率相对更高;剖宫产产妇因胎盘因素致发率相对更高,以上比较均有明显性差异(P<0.05)。结论:应对易发产后出血的产妇提前做好救治准备,一旦发生产后出血,要及早查找原因,并对症尽快救治,以降低产妇的临床死亡率。
Objective: To investigate the clinical determination of postpartum hemorrhage, the direct cause, related factors and treatment. Methods: A total of 150 cases of postpartum hemorrhage received from January 2010 to January 2013 were selected for determination of hemorrhage during childbirth, and the causes were identified as early as possible for treatment. The basic factors related to postpartum hemorrhage and the direct causes were given separately analysis. Results: The incidence of postpartum hemorrhage in the spontaneous labor group was significantly lower for maternal, primipara, and abortion-less mothers. The rate of postpartum hemorrhage due to uterine inertia was significantly higher. In addition, spontaneous delivery and cesarean section The main causes of postpartum hemorrhage were mainly uterine atony. Secondly, natural childbirth due to injury caused by the soft birth canal is relatively higher; cesarean section due to placental factor induced rate is relatively higher, the above were significantly different (P <0.05). Conclusions: Maternal women prone to post-partum hemorrhage should be prepared for treatment in advance. In the event of postpartum hemorrhage, the cause should be found as soon as possible and the symptomatic treatment should be rescued as soon as possible to reduce the maternal clinical mortality rate.