国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
International Medicine and Health Guidance News
2015年
19期
2835-2837
,共3页
产后出血%出血原因%高危因素%临床分析
產後齣血%齣血原因%高危因素%臨床分析
산후출혈%출혈원인%고위인소%림상분석
Postpartum hemorrhage%Hemorrhage causes%High-risk factor%Clinical analysis
目的 分析产后出血发生的原因及高危因素,针对产后出血的原因,积极预防及处理产后出血,降低孕产妇产后出血的发生率及死亡率.方法 回顾性分析解放军第91中心医院产科2014年1至12月53例产妇产后出血的原因及高危因素.结果 产后出血的发生率为2.76％.产后出血的原因依次为:宫缩乏力64.15％,胎盘因素30.19％,软产道损伤3.77％,凝血功能障碍1.89％.产后出血的高危因素有巨大儿、妊娠合并贫血、瘢痕子宫、双胎妊娠、IVF-ET、妊娠期糖尿病、妊娠期高血压疾病、前置胎盘、胎盘植入、胎盘早剥.结论 规范产前检查,加强孕期营养的宣教及指导,管理孕期体重,降低高危妊娠,促进自然分娩;产前充分评估,术中积极预防及处理产后出血,降低孕产妇产后出血的发生率及死亡率.
目的 分析產後齣血髮生的原因及高危因素,針對產後齣血的原因,積極預防及處理產後齣血,降低孕產婦產後齣血的髮生率及死亡率.方法 迴顧性分析解放軍第91中心醫院產科2014年1至12月53例產婦產後齣血的原因及高危因素.結果 產後齣血的髮生率為2.76％.產後齣血的原因依次為:宮縮乏力64.15％,胎盤因素30.19％,軟產道損傷3.77％,凝血功能障礙1.89％.產後齣血的高危因素有巨大兒、妊娠閤併貧血、瘢痕子宮、雙胎妊娠、IVF-ET、妊娠期糖尿病、妊娠期高血壓疾病、前置胎盤、胎盤植入、胎盤早剝.結論 規範產前檢查,加彊孕期營養的宣教及指導,管理孕期體重,降低高危妊娠,促進自然分娩;產前充分評估,術中積極預防及處理產後齣血,降低孕產婦產後齣血的髮生率及死亡率.
목적 분석산후출혈발생적원인급고위인소,침대산후출혈적원인,적겁예방급처리산후출혈,강저잉산부산후출혈적발생솔급사망솔.방법 회고성분석해방군제91중심의원산과2014년1지12월53례산부산후출혈적원인급고위인소.결과 산후출혈적발생솔위2.76％.산후출혈적원인의차위:궁축핍력64.15％,태반인소30.19％,연산도손상3.77％,응혈공능장애1.89％.산후출혈적고위인소유거대인、임신합병빈혈、반흔자궁、쌍태임신、IVF-ET、임신기당뇨병、임신기고혈압질병、전치태반、태반식입、태반조박.결론 규범산전검사,가강잉기영양적선교급지도,관리잉기체중,강저고위임신,촉진자연분면;산전충분평고,술중적겁예방급처리산후출혈,강저잉산부산후출혈적발생솔급사망솔.
Objective To explore the causes and high-risk factors of postpartum hemorrhage and to prevent and treat postpartum hemorrhage according the causes to reduce the incidence and maternal mortality.Methods The clinical data of 53 parturient women with postpartum hemorrhage were collected from our department from January to December, 2014 and were retrospectively analyzed to explore the causes and high-risk factors of postpartum hemorrhage.Results The incidence of postpartum hemorrhage was 2.76％.The causes of postpartum hemorrhage were uterine atony(64.15％), placenta related factors (30.19％), soft birth canal laceration(3.77％), and coagulation defects (1.89％).The high-risk factors of postpartum hemorrhage were macrosomia, anemia in pregnancy, scar uterus, twin pregnancy, IVF-ET,gestational diabetes, hypertensive disorder complicating pregnancy, placenta previa, placenta increta,and placental abruption.Conclusions To reduce the incidence of postpartum hemorrhage and to lower maternal mortality, some measures should be taken.Theses measures contain standardized prenatal examination, education and guidance of strengthening nutrition during pregnancy, and well management of pregnancy weight, which can help reduce the risk of pregnancy and promote spontaneous delivery.Besides,full assessment of parturient women pre-delivery, effective prevention, and treatment for postpartum hemorrhage during operation also play important roles.
