论文部分内容阅读
晚期产后出血或称继发性产后出血是指产后24小时至6周的异常出血,而产后6周以后的出血则包含分娩原因以外的月经、流产等。晚期产后出血缺乏统一的诊断标准,有的不经诊断、治疗即可自然止血,但也有少数出血较多,甚至可以达到休克程度,不得不切除子宫,因此对产褥出血需详加诊断与治疗。一、发生率文献报道各异,大致为0.3～0.7%。Wolfe和Pedowitz报道发生率为1∶250～300次分娩;Lester报道经阴道分娩的为1∶147次分娩;Gorodovsky报道为1∶235次分娩;Dewhurst报道为1%。二、晚期产后出血的原因 (一)产科因素:Thorsteinsson和Kempers就晚期产后出血的产科因素作了详细调查,结
Late postpartum hemorrhage or secondary postpartum hemorrhage refers to abnormal bleeding after 24 hours to 6 weeks of postpartum, and postpartum hemorrhage after 6 weeks includes menstruation, abortion and other causes of labor. Late postpartum hemorrhage lacks a unified diagnostic criteria, and some without diagnosis, treatment can be a natural hemostasis, but there are a small number of bleeding, and even can reach the shock level, had to remove the uterus, so the need for detailed diagnosis and treatment of puerperal hemorrhage . First, the incidence of different reports in the literature, roughly 0.3 to 0.7%. Wolfe and Pedowitz reported rates of 1: 250 to 300 deliveries; Lester reported vaginal deliveries of 1: 147 deliveries; Gorodovsky reported 1: 235 deliveries; and Dewhurst reported 1%. Second, the causes of late postpartum hemorrhage (a) obstetric factors: Thorsteinsson and Kempers late postpartum hemorrhage obstetric factors were investigated in detail