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目的:探讨高原地区产后出血的预防及治疗措施。方法:对2000年~2012年138例西藏山南地区产后出血患者的临床资料进行回顾性分析。结果:138例患者中,子宫收缩乏力80例(57.9%);胎盘因素39例(28.2%);软产道损失17例(12.3%);凝血功能异常2例(1.4%)。本院来源的患者中,因为宫缩乏力出现产后出血居首位,占64.4%;转入的患者中,因为胎盘因素导致的产后出血居多,占41.7%。剖宫产后宫缩乏力致产后出血者最多。结论:医疗条件和生产观念对产后出血的发生率和预后至关重要。加强孕产妇产前保健,增强藏区基层医务人员素质对预防和治疗产后出血,改善产后出血预后,降低孕产妇死亡率意义重大。
Objective: To explore the prevention and treatment of postpartum hemorrhage in highland area. Methods: The clinical data of 138 cases of postpartum hemorrhage in Shannan area of Tibet from 2000 to 2012 were analyzed retrospectively. Results: Among the 138 patients, 80 cases (57.9%) had uterine atony, 39 cases (28.2%) had placenta, 17 cases (12.3%) had soft birth canal and 2 cases (1.4%) had abnormal coagulation function. Among the patients in this hospital, 64.4% were postpartum hemorrhage due to uterine inertia, and 41.7% were postpartum hemorrhage due to placenta. Cesarean postpartum hemorrhage due to postpartum hemorrhage up to. Conclusion: The medical condition and concept of production are crucial for the incidence and prognosis of postpartum hemorrhage. Strengthening antenatal care for pregnant women and enhancing the quality of grass-roots medical staff in Tibetan areas is of great significance in preventing and treating postpartum hemorrhage, improving prognosis of postpartum hemorrhage, and reducing maternal mortality.