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剖宫产术产后出血原因及防治分析 被引量:10

Analysis of the Causes and Prevention of Postpartum Hemorrhage in Cesarean Section
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摘要 目的:分析剖宫产手术后出血原因及防治方法。方法:对我院2009年9月-2012年9月行剖宫产手术的的760例产妇中30例出现产后出血的产妇临床资料进行回顾性分析。结果:与本院自然分娩产后出血情况比较,剖宫产产后出血率、出血量等方面均有明显的提升(P〈0.05)。结论:造成孕妇产后出血的主要原因是剖宫产手术、宫缩乏力、胎盘因素、切口裂开以及凝血功能障碍等。对于存在宫缩乏力或胎盘因素的患者提前做好预防产后出血的治疗措施。在治疗产后出血症中,可采取压迫止血、B-Lynch缝合术等治疗措施,必要时可进行子宫切除手术,以保证产妇的生命安全。 Objective:Analysed of the causes of bleeding after cesarean section and prevention methods. Methods:30 patients in our hospital in September 2009-2012 September cesarean section surgery 760 cases of maternal postpartum hemorrhage, maternal clinical data were retrospectively analyzed. Results:SCOPE natural childbirth postpartum hemorrhage compared with cesarean section postpartum hemorrhage rate, the amount of bleeding were significantly improved (P〈0.05).Conclusion:The main reason for pregnant women, postpartum hemorrhage cesarean section, uterine inertia, placenta, wound dehiscence, and coagulation disorders. Well in advance to prevent postpartum hemorrhage treatment for patients with uterine inertia exists or placental factors. In the treatment of postpartum hemorrhagic disease, homeostasis’ can be taken to the B-Lynch suture and other therapeutic measures, if necessary, hysterectomy, in order to guarantee the safety of the mother's life.
作者 刘桂英
出处 《中国医药导刊》 2014年第3期536-537,共2页 Chinese Journal of Medicinal Guide
关键词 剖宫产 术后出血 原因 防治措施 Cesarean section Postoperative bleeding Reasons Prevention measures
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