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目的分析严重产后出血的主要原因并探讨其救治方法。方法通过对35例严重产后出血病例进行回顾性分析,总结救治方法及评价其疗效。结果严重产后出血的主要原因为:胎盘因素及宫缩乏力。其中30例严重产后出血患者经保守治疗血止,5例无效行急症子宫切除术。结论严重产后出血保守治疗绝大多数疗效满意,但对经积极保守治疗无效的严重产后出血应把握时机及时行急症子宫切除术以挽救产妇生命。
Objective To analyze the main causes of severe postpartum hemorrhage and to explore its treatment methods. Methods By retrospective analysis of 35 cases of severe postpartum hemorrhage, summed up the treatment and evaluation of its efficacy. The main causes of severe postpartum hemorrhage were placental factors and uterine atony. 30 cases of severe postpartum hemorrhage in patients with conservative treatment of blood only, 5 cases of ineffective emergency hysterectomy. Conclusions Most of the conservative treatment of severe postpartum hemorrhage is satisfactory, but severe postpartum hemorrhage, which is ineffective in active conservative treatment, should take the opportunity to timely emergency hysterectomy to save the life of the woman.