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目的:对产后出血的发生原因及防治措施进行探讨。方法:医院妇产科2009年6月~2013年12月共收治91例产后出血病例,结合其临床资料进行回顾性分析。结果:91例病例中,发生产后出血的首要原因为宫缩乏力,占55.93%;其次为胎盘因素、软产道裂伤;剖宫产产后出血发生率较阴道产发生率高;人工流产、引产史者产后出血发生率与无流产、引产史者产后出血发生率差异明显。结论:加强计划生育的宣传,防治导致宫缩乏力的各种因素,积极治疗妊娠并存疾病,减少不必要的人工流产、引产,防止产后出血的发生。
Objective: To investigate the causes of postpartum hemorrhage and its prevention and treatment. Methods: A total of 91 cases of postpartum hemorrhage were admitted to the department of Obstetrics and Gynecology from June 2009 to December 2013. The clinical data were retrospectively analyzed. Results: Among the 91 cases, the main cause of postpartum hemorrhage was uterine atony, accounting for 55.93%; followed by placental factors and soft birth canal laceration; the incidence of postpartum hemorrhage after cesarean section was higher than that of vaginitis; abortion, induced labor The incidence of postpartum hemorrhage and abortion, history of postpartum hemorrhage incidence of significant difference. Conclusion: To strengthen the publicity of family planning, prevention and treatment of uterine atony caused by various factors, active treatment of pregnancy coexisting disease, reduce unnecessary abortion, induced labor, to prevent the occurrence of postpartum hemorrhage.