产后出血的临床病因分析及防治对策

摘要

Objective To explore the causes and prevention of postpartum hemorrhage,in order to reduce the maternal complications,improve their quality of life.Methods A retrospective analysis of 30 cases of postpartum hemorrhage clinical information and treatment of patients.Results The main causes of 30 cases of postpartum hemorrhage is uterine atony,fol owed by placental factors,the soft birth canal laceration,coagulation dysfunction.Occurrence and mode of delivery,postpartum hemorrhage, the number of pregnancy age also have close relationship.Conclusion Strengthen perinatal health care,risk factors for early screening for postpartum hemorrhage;close observation of birth process,reduce the incidence of postpartum vaginal bleeding,reducing maternal mortality,improve the quality of obstetrics.%目的探讨产后出血的原因及防治对策，以降低产妇并发症，提高产妇生活质量。方法回顾性分析30例产后出血患者的病史资料及诊治措施。结果30例产后出血的主要原因为子宫收缩乏力，其次为胎盘因素、软产道裂伤、凝血功能障碍。产后出血的发生与分娩方式、孕产次数、年龄亦有密切的关系。结论加强围产期保健，尽早筛查产后出血的高危因素；密切观察产程进展，减少产后阴道出血的发生率，降低产妇死亡率，提高产科质量。