产后大出血常发生在第三产程,是产科最常见的严重并发症,如处理不当或不及时,可能造成死亡。在产后大出血中,以宫缩乏力引起者最为险恶,其中有极少数病例处理十分困难,往往不易止血。1980年以来,我院遇见此类产后大出血者8例,均采用子宫后壁双合压迫止血法(以下简称双合止血法,见示意图),除1例改行子宫次全切除术外,其余7例取得了较好的效果。典型病例【例1】董××,24岁.过期妊娠(超过预产期20余日),总产程34小时,自然分娩。当胎盘娩出后,宫体轮廓不清,阴道大量出血.检查软产道无损伤,立即按摩宫体,催产素20单位加5%葡萄糖20毫升静推。宫缩仍不佳,数 Postpartum hemorrhage often occurs in the third stage of labor, is the most common serious obstetric complications, such as improper handling or not, may result in death. In postpartum hemorrhage, caused by uterine atony is the most dangerous, of which very few cases of treatment is very difficult, often difficult to stop bleeding. Since 1980, our hospital met such postpartum hemorrhage in 8 cases, both using the posterior wall of the uterus double compression hemostasis (hereinafter referred to as Shuanghe hemostasis method, see diagram), in addition to 1 case of subtotal hysterectomy, the remaining 7 Example achieved good results. Typical cases [Example 1] Dong × ×, 24 years old. Outdated pregnancy (more than 20 days expected date of delivery), 34 hours of total labor, natural childbirth. When the placenta is delivered, the uterus is out of shape, and the vagina is heavily bleeding.Check the soft birth canal without injury and immediately massage the uterus, 20 units of oxytocin plus 5% glucose 20 ml. Contractions are still not good, number