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目的分析剖宫产手术产后出血的原因,探讨剖宫产产后出血的防治方法。方法回顾性分析我院剖宫产后出血74例患者的临床资料。结果本组74例产后出血患者均抢救成功,38例出血量500～1000 ml,21例出血量1000～1500 ml,15例出血量1500～2000 ml;宫缩乏力所致出血43例(58.11%),胎盘因素所致16例(21.62%),缝合不当所致13例(17.57%),合并妊娠高血压2例(2.70%)。结论导致产妇剖宫产产后出血的因素主要有子宫收缩乏力、胎盘因素、切口缝合不当等。降低剖宫产率,严格控制剖宫产手术指征,如需手术正确掌握手术时机,提高手术技术和手术质量,及时诊断和处理产后出血,从而降低剖宫产产后出血的发生。
Objective To analyze the causes of postpartum hemorrhage after cesarean section operation and to explore the prevention and treatment of postpartum hemorrhage after cesarean section. Methods The clinical data of 74 patients with post-cesarean section bleeding in our hospital were retrospectively analyzed. Results In all, 74 cases of postpartum hemorrhage were successfully rescued. 38 cases had 500 ~ 1000 ml blood loss, 21 cases had blood loss of 1000 ~ 1500 ml and 15 cases had blood loss of 1500 ~ 2000 ml. 43 cases (58.11% ), 16 cases (21.62%) due to placental factors, 13 cases (17.57%) due to improper suture, and 2 cases (2.70%) with pregnancy-induced hypertension. Conclusion The main factors that lead to cesarean section postpartum hemorrhage are uterine atony, placental factors, improper incision suture and so on. Reduce the rate of cesarean section, strictly control the indications for cesarean section surgery, for surgery to properly grasp the timing of surgery, improve surgical techniques and surgical quality, timely diagnosis and treatment of postpartum hemorrhage, thereby reducing the incidence of cesarean section postpartum hemorrhage.