摘要：目的：探讨产科失血性休克发生的原因和防治方法。方法：对3年来产科失血性休克51例进行回顾性分析。结果：产科失血性休克的发生率为0.65%，胎盘因素是失血性休克的主要原因；主要的危险因素是多次妊娠和流产、院外分娩及重度子痫前期。产科失血性休克导致的子宫切除率为17.6%。结论：减少妊娠和刮宫次数，杜绝院外分娩，加强孕期保健对于预防产科失血性休克不容忽视，对于无法控制的产后出血，子宫全切或次全切除是挽救孕产妇生命的重要措施。

    关键词：失血性休克；产科

    Clinical Analysis of 51 Cases of Obstetric Hemorrhagic Shock

    CHENG Yan-jun，WEI Ping

    (Longgang Central Hospital, Guangdong Shenzhen 518116, China)

    Abstract： Objective: In order to find causes and preventive methods of obstetric hemorrhagic shock. Method: Clinical data of 51 cases of obstetric hemorrhagic shock were evaluated retrospectively during 3 years. Result: The incidence of obstetric hemorrhagic shock in the study was 0.65%. Factors about placenta was the most common cause of obstetric hemorrhagic shock .The major risk factors included multiple previous pregnancies and abortion、delivery out of hospital and pre-eclampsia . The emergency obstetric hysterectomy rate was 17.6% in obstetric hemorrhagic shock. Conclusion: Decreasing the gravidity and the times of curettage、avoiding delivery out of hospital and better supervision of antenatal care in the community studied are recommended to reduce obstetric hemorrhagic shock cases. In case of uncontrollable postpartum hemorrhages, emergency peripartum hysterectomy or subtotal hysterectomy is a significant life saving operation. ......