世界最新医学信息文摘（电子版）
世界最新醫學信息文摘（電子版）
세계최신의학신식문적（전자판）
World Latest Medicine Information
2013年
11期
41-41,40
,共2页
产后出血%宫缩乏力%高危因素
產後齣血%宮縮乏力%高危因素
산후출혈%궁축핍력%고위인소
postpartum hemorrhage%Uterine atony%Risk factors
目的综合分析产后出血的原因、危险因素与防治措施。方法回顾分析我院2002年1月至2012年12月住院分娩的130例产后出血患者的出血原因、高危因素及治疗措施。结果出血原因中宫缩乏力占72.31%，胎盘因素占14.62%，软产道损伤占10.77%，凝血功能障碍占2.31%。影响产后出血的危险因素主要是高龄孕妇、妊娠合并内科疾病、妊娠高血压疾病、疤痕子宫、流动人口、双胎或多胎妊娠、子宫肌瘤、羊水过多、巨大儿、前置胎盘、胎盘早剥等。结论产后出血是多种原因和多种高危因素所致，应针对具体病因综合应用药物治疗，必要时进行各种保守性治疗及手术是治疗产后出血的有效措施。
目的綜閤分析產後齣血的原因、危險因素與防治措施。方法迴顧分析我院2002年1月至2012年12月住院分娩的130例產後齣血患者的齣血原因、高危因素及治療措施。結果齣血原因中宮縮乏力佔72.31%，胎盤因素佔14.62%，軟產道損傷佔10.77%，凝血功能障礙佔2.31%。影響產後齣血的危險因素主要是高齡孕婦、妊娠閤併內科疾病、妊娠高血壓疾病、疤痕子宮、流動人口、雙胎或多胎妊娠、子宮肌瘤、羊水過多、巨大兒、前置胎盤、胎盤早剝等。結論產後齣血是多種原因和多種高危因素所緻，應針對具體病因綜閤應用藥物治療，必要時進行各種保守性治療及手術是治療產後齣血的有效措施。
목적종합분석산후출혈적원인、위험인소여방치조시。방법회고분석아원2002년1월지2012년12월주원분면적130례산후출혈환자적출혈원인、고위인소급치료조시。결과출혈원인중궁축핍력점72.31%，태반인소점14.62%，연산도손상점10.77%，응혈공능장애점2.31%。영향산후출혈적위험인소주요시고령잉부、임신합병내과질병、임신고혈압질병、파흔자궁、류동인구、쌍태혹다태임신、자궁기류、양수과다、거대인、전치태반、태반조박등。결론산후출혈시다충원인화다충고위인소소치，응침대구체병인종합응용약물치료，필요시진행각충보수성치료급수술시치료산후출혈적유효조시。
Objective To analyze the risk factors of the causes of postpartum hemorrhage, and the prevention measures. Methods retrospective analysis in our hospital from 2002 January to 2012 December in hospital childbirth 130 cases of postpartum hemorrhage, bleeding in patients with high risk factors and treatment measures. Results the causes of hemorrhage in uterine atony accounted for 72.31%, 14.62%of placental factors, the soft birth canal injury accounted for 10.77%, accounting for 2.31%of coagulation dysfunction. Effect of risk factor of postpartum hemorrhage is mainly advanced maternal age, gestational diseases in Department of internal medicine, hypertensive disorder complicating pregnancy, uterine scar, floating population, twins or multiple pregnancy, uterine fibroids, polyhydramnios, fetal macrosomia, placenta, placental abruption. Conclusion postpartum haemorrhage is caused by many reasons and many risk factors, should be targeted at the specific etiology combined application of medication, when necessary, all kinds of conservative treatment and operation treatment is the effective measures of postpartum hemorrhage.
