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目的:探讨剖宫产术后早期产后出血的相关因素及预防治疗措施。方法:通过回顾性分析我县人民医院自2009年1月至2013年12月收治的90例产后出血患者的临床资料,分析诱发剖宫产术后早期产后出血的相关因素,并制定相应的预防治疗措施。结果:患者出血量为500-1000mL,占85.6%;出血量为1000-2000mL,占10.6%;出血量大于2000mL,占3.9%,所有患者均于6~8d痊愈出院,无死亡病例。产妇出血原因分析中,宫缩乏力因素占74.4%,胎盘因素占16.7%,软产道裂伤占5.5%,凝血障碍占3.3%。结论:剖宫产产后早期出血诱发因素较多,术前应对产妇手中存在的高危因素进行科学的评估,做好有效的止血抢救治疗措施,确保产妇的生命安全。
Objective: To explore the related factors of early postpartum hemorrhage after cesarean section and the preventive measures. Methods: By retrospectively analyzing the clinical data of 90 postpartum hemorrhage patients from January 2009 to December 2013 in our county People’s Hospital, the related factors of early postpartum hemorrhage induced by cesarean section were analyzed and the corresponding preventive measures Treatment. Results: The amount of bleeding in patients was 500-1000mL, accounting for 85.6%; the amount of bleeding was 1000-2000mL, accounting for 10.6%; the amount of bleeding was more than 2000mL, accounting for 3.9%. All patients were discharged at 6 ~ 8d with no deaths. Analysis of causes of maternal bleeding, uterine inertia accounted for 74.4%, placental factors accounted for 16.7%, soft birth canal laceration accounted for 5.5%, coagulopathy accounted for 3.3%. Conclusion: There are many predisposing factors for cesarean section postpartum hemorrhage. The preoperative evaluation of the risk factors in the hands should be scientifically evaluated and effective hemostatic rescue measures should be taken to ensure the safety of the mothers.