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目的:探讨分娩产妇发生产后出血的原因、预防措施及治疗方法。方法:对象山县丹域中心卫生院妇产科2007~2009年53例分娩产妇产后出血的临床资料进行回顾性分析。结果:分娩产妇2 500例,产后出血53例,其中阴道自然分娩24例,剖宫产26例,产钳助产3例,产后出血发生率为2.1%。产后出血的原因中,子宫收缩乏力24例,胎盘因素19例,软产道裂伤9例,凝血功能障碍1例。结论:严密观察和正确处理产程,针对病因及时处理,确保产妇安全。
Objective: To investigate the causes of maternal postpartum hemorrhage, preventive measures and treatment. Methods: A retrospective analysis was performed on the clinical data of 53 cases of postpartum hemorrhage among maternal women in Maternal and Child Health Hospital of Dan Shan Central Hospital from 2007 to 2009. Results: There were 2 500 cases of childbirth and 53 cases of postpartum hemorrhage. Among them, 24 cases were spontaneous vaginal delivery, 26 cases were cesarean section, 3 were obstetrical forceps, and the incidence of postpartum hemorrhage was 2.1%. Causes of postpartum hemorrhage, 24 cases of uterine atony, placental factors in 19 cases, 9 cases of soft birth canal laceration, coagulation disorders in 1 case. Conclusion: Close observation and correct treatment of labor, timely treatment for the cause to ensure the safety of mothers.