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目的探讨产后出血的原因与防治措施,降低产后出血的发生率及病死率。方法回顾性分析我院近5年来产后出血患者发生产后出血的原因及治疗方法。结果 65例产后出血中宫缩乏力39例,占60.00%;胎盘因素22例,占33.85%;软产道裂伤4例,占6.15%。61例患者经各种综合治疗痊愈,6例行子宫切除术治愈,无一例死亡。结论产后出血是多种原因和多种因素所致,应针对具体病因进行综合治疗,进行各种保守性手术是治疗产后出血的有效措施。
Objective To explore the causes of postpartum hemorrhage and prevention and treatment measures to reduce the incidence of postpartum hemorrhage and mortality. Methods The causes and treatment of postpartum hemorrhage in postpartum hemorrhage patients in our hospital during the last 5 years were retrospectively analyzed. Results 65 cases of postpartum hemorrhage in 39 cases of uterine inertia, accounting for 60.00%; placental factors in 22 cases, accounting for 33.85%; 4 cases of soft birth canal laceration, accounting for 6.15%. 61 patients were cured by various comprehensive treatment, 6 cases were cured by hysterectomy, and none of them died. Conclusions Postpartum hemorrhage is caused by many factors and many kinds of factors. Comprehensive treatment should be made according to specific causes. Various conservative operations are effective measures to treat postpartum hemorrhage.