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目的探讨晚期产后出血的原因和防治措施。方法回顾性分析32例晚期产后出血患者的临床资料,比较不同原因,在不同医院分娩致晚期产后出血的原因的发病率。结果晚期产后出血的发生率为0.27%,阴道分娩及剖宮产晚期产后出血发生率分别为0.30%和0.20%,不同分娩方式,晚期产后出血发生率的差别无显著性,不同级别医院分娩致晚期产后出血的原因顺位不同。结论熟练掌握阴道分娩,剖宮产的操作技术,严格操作规程,及时应用子宫收缩剂,抗感染药,杜绝产婆(家庭分娩),是预防晚期产后出血的关键。
Objective To investigate the causes and prevention measures of late postpartum hemorrhage. Methods The clinical data of 32 patients with postpartum hemorrhage were retrospectively analyzed. The incidences of postpartum hemorrhage due to different causes in different hospitals were compared. Results The incidence of late postpartum hemorrhage was 0.27%. The incidence of postpartum hemorrhage during vaginal delivery and late cesarean section were 0.30% and 0.20% respectively. There was no significant difference in the incidence of postpartum hemorrhage between different modes of delivery and postpartum hemorrhage Causes of postpartum hemorrhage in different positions. Conclusions Proficiency in vaginal delivery, cesarean section operation techniques, strict rules, the timely application of uterine contractility, anti-infectives, and the elimination of midwives (domestic delivery) is the key to preventing late postpartum hemorrhage.