摘 要目的:探讨产后出血原因,影响因素及防治对策。方法:对2007年1月至2008年12月170例产后出血病例资料进行回顾性研究并进行统计学分析。结果:产后出血发生率2.48%。发生原因依次为:宫缩乏力(72.35%),胎盘因素(16.47%),软产道损伤(10.59%),凝血机制障碍(0.59%)。结论:产后出血与多种因素有关,尤其以产后宫缩乏力为主要因素,降低产后出血的关键在于预防宫缩乏力的发生,预防的关键是做好孕期保健及时正确的处理产时、产后的异常。

    关键词产后出血;相关因素;预防措施

    Abstract Objective:To investigate the causes influencial factors and prevention of postpartum hemorrhage(PPH).Methods: 170 cases of PPH from 2007 to 2008 were analyzed retrospectively.Results:The rate of PPH was 2.48%.The causes of PPH were: uterine inertia (72.35%),factors associated with placenta(16.47%), soft birth canal laceration(10.59%) and coagulation disorders (0.59%). Conclusion:There are several factors associated with PPH,and uterine inertia is the most important one.The key point to reduce the rate of PPH is to emphasize antenatal care and prevent uterine inertia.

    产后出血是指胎儿娩出后24小时内出血量超过500ml,是分娩期严重并发症,是导致产妇死亡的主要原因,其发病率占分娩总数的2%～3%[1] ......