产后出血产妇危险因素及临床干预措施

摘要

Objective:To analyze the risk factors and clinical interventions of postpartum hemorrhage.Method:Our hospital from January 2013 to December 2013 admitted 8072 cases of maternal,postpartum hemorrhage clinical data of 200 patients were retrospectively analyzed to understand the risk factors of postpartum hemorrhage-induced,and took targeted clinical interventions.Result:Cesarean section,maternal,multiple pregnancy postpartum hemorrhage were higher than vaginal delivery,early maternal and maternal singleton pregnancies,there were statistical significance(P<0.05).66.5%postpartum hemorrhage was caused by uterine inertia,it was the primary trigger clinical risk factors for postpartum hemorrhage,secondary to placental factors,the soft birth canal injury and coagulation disorders(P<0.05).175 patients after conventional treatment of bleeding under control,and the remaining 25 patients,4 cases of uterine cavity with gauze,10 cases received B-Lyunch suture,8 patients received uterine artery embolization,and all were stopped bleeding,the remaining 3 cases were treated with hysterectomy.25 cases of adverse reactions in patients with symptomatic intervention,no stable condition.Conclusion:The mode of delivery,parity,whether multiple births and uterine inertia,placenta,soft birth canal injury,coagulopathy factors of postpartum hemorrhage are actively symptomatic intervention can effectively control the disease.%目的：分析产后出血的危险因素及临床干预措施。方法：选取2013年1-12月笔者所在医院收治的8072例产妇，对其中200例产后出血产妇的临床资料进行回顾性分析，了解诱发产后出血的危险因素，并采取针对性临床干预措施。结果：剖宫产、经产妇、多胎妊娠产妇产后出血率明显高于阴道分娩、初产妇及单胎妊娠产妇(P<0.05)。66.5%的产后出血是因宫缩乏力引起，是首要引发产后出血的临床危险因素，其次为胎盘因素、软产道损伤及凝血功能障碍(P<0.05)。175例患者常规处理后出血得到控制，其余25例患者中，4例予以纱条填塞宫腔，10例予以B-Lyunch缝合，8例予以子宫动脉栓塞治疗，均停止出血，其余3例患者行子宫切除术。25例患者对症干预后均无不良反应，病情稳定。结论：分娩方式、产次、是否多胎及宫缩乏力、胎盘因素、软产道损伤、凝血功能障碍均为产后出血的影响因素，积极对症干预可有效控制病情。