AIM:To investigate the causes and clinical treat-ment of postpartum hemorrhage in cesarean section. METH-ODS:Analyzing 73 cases clinical data of cesarean section with postpartum hemorrhage retrospectively in our hospital from January 201 2 to October 201 3.RESULTS:There were 33 cases with in-traoperative bleeding,40 cases with postoperative hemorrhage af-ter 24 h.The main reasons(97.2%)of postpartum hemorrhage of cesarean section were uterine atony(67.1%),placental,tearing of the wound in uterus.And 66 cases received postoperative blood transfusion (500~1 900 ml).The average hospitalization of pa-tients was 6.5 days,and the patients recovered well after the op-eration.One of the patients underwent subtotal hysterectomy be-cause of uncontrolled bleeding. CONCLUSION:Postpartum hemorrhage in cesarean section is serious complication during de-livery.If we could judge the reason and volume of bleeding timely and accurately,take right treatment,control the indications of hysterectomy strictly,we'll save lives of maternal at the most ex-tent,and improve the quality of life.%目的：探讨剖宫产产后出血发生的原因及临床处理措施．方法：回顾性分析我院2012-01/2013-10期间收治的73例剖宫产产后出血患者的临床资料．结果：出血情况：术中出血者33例，术后24 h 内出血者40例．剖宫产产后出血原因主要为宫缩乏力、胎盘因素、子宫切口裂伤，占97．2％，其中宫缩乏力占67．1％．术后66例接受输血治疗500～1900 mL．平均住院6．5 d，术后恢复情况良好，其中1例因出血无法控制行子宫次全切除术．结论：剖宫产产后出血是分娩期严重的并发症，及时准确判断出现原因及出血量，采取正确的治疗措施，严格掌握子宫切除指征，可以最大程度的挽救孕产妇的生命，提高其生活质量．
展开▼
