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目的分析晚期产后出血的原因及治疗措施,强调预防的重要性。方法对我院收治的28例晚期产后出血病例进行回顾分析。结果晚期产后出血的原因主要为胎盘胎膜残留和子宫切口愈合不良。缩宫抗感染支持治疗可用于所有晚期产后出血者,清宫、子宫血管栓塞治疗及开腹子宫手术是止血的有效措施。结论加强责任心,严格掌握剖腹产指征及手术时机,提高手术操作技巧,加强孕期检查,及时治疗孕期合并症可以降低晚期产后出血。
Objective To analyze the causes and treatment measures of late postpartum hemorrhage and emphasize the importance of prevention. Methods 28 cases of late postpartum hemorrhage treated in our hospital were retrospectively analyzed. Results The main causes of postpartum hemorrhage were residual placental membranes and poor healing of uterine incisions. Reduction of anti-infection supportive treatment can be used for all postpartum hemorrhage, curettage, uterine artery embolization and open surgery is an effective measure to stop bleeding. Conclusion To strengthen the sense of responsibility, strictly control the indications and operation timing of caesarean section, improve the operation skills, strengthen the examination during pregnancy, and timely treatment of pregnancy complications can reduce postpartum hemorrhage.