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目的:探索产后出血的相关因素,为临床防治产后出血提供参考资料。方法:选择2009年1月～2012年12月期间在我院治疗的3440分娩孕妇中的90例产后出血患者作为研究对象,对于其产后出血的发生时间、出血量、原因等指标进行综合分析。结果:产后出血的原因:子宫收缩乏力占62.2%,胎盘因素占18.9%,软产道损伤占10.0%,凝血功能障碍占8.9%(8/90)。产后出血与既往流产史和妊娠合并症具有密切关系。结论:产后出血的相关因素很多,主要为妊娠合并症、流产史等有关,主要发生的原因是子宫收缩乏力,所以加强子宫收缩是产后出血的预防措施。
Objective: To explore the related factors of postpartum hemorrhage and provide references for clinical prevention and treatment of postpartum hemorrhage. Methods: 90 postpartum hemorrhage patients from 3440 pregnant women who were treated in our hospital from January 2009 to December 2012 were selected as the research object. The incidence, the amount of bleeding and the causes of postpartum hemorrhage were analyzed. Reasons: The causes of postpartum hemorrhage were: uterine atony of 62.2%, placental factor of 18.9%, soft birth canal injury of 10.0% and coagulation dysfunction of 8.9% (8/90). Postpartum hemorrhage and history of previous abortion and pregnancy complications are closely related. Conclusions: There are many related factors of postpartum hemorrhage, mainly related to pregnancy complications and abortion history. The main cause is postpartum hemorrhage. Therefore, strengthening uterine contractions is a preventive measure of postpartum hemorrhage.