首都医科大学学报 ›› 2000, Vol. 21 ›› Issue (3): 224-225.

• 论著 • 上一篇    下一篇

产后出血317例临床分析

刘玉环, 姜桂英   

  1. 首都医科大学附属北京复兴医院妇产科
  • 收稿日期:1999-12-23 修回日期:1900-01-01 出版日期:2000-07-15 发布日期:2000-07-15

The Clinical Analysis of 317 Cases of Postpartum Hemorrhage

Liu Yuhuan, Jiang Guiying   

  1. Department of Obstetrics and Gynecology, Beijing Fuxing Hospital, Affiliate of Capital University of Medical Sciences
  • Received:1999-12-23 Revised:1900-01-01 Online:2000-07-15 Published:2000-07-15

摘要: 为探讨产后出血的相关因素及防治措施,回顾分析了1986年1月至1999年6月收治的317例产后出血病例。发现:同期产后出血的发病率为1.53%.宫缩乏力是产后出血最主要的原因,占53.31%.剖宫产产后出血的发病率为2.41%,显着高于阴道产的1.15%(P<0.01).87.7%的产后出血发生于产后2h内,胎盘因素所致的产后出血常导致严重后果。结果提示:减少宫缩乏力的发生和降低剖宫产率是降低产后出血发病率的关键,产后2h是产后出血不容忽视的阶段.

关键词: 产后出血, 产后出血原因, 产后出血时间

Abstract: To investigate correlative factor and prevention and treatment of postpartum hemorrhage, 317 cases of postpartum hemorrhage were reviewed. The incidence of postpartum hemorrhage, during January, 1986 to June, 1999 ,were 1.53%(317/20 768). The chief reason of postpartum hemorrhage was uterine inertia, taking up 53.31%(169/317). The incidence that caesarean section occurred postpartum hemorrhage were 2.41%(151/6 278) of the cases, which was higher than vaginal delivery(P<0.01). Conclusion: Reducing the uterone inertia and caesarean seclion is the key to reduce the incidence of postpartum hemorrhage.

Key words: postpartum hemorrhage, reason of postpartum hemorrhage, time of postpartum hemorrhage

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