摘要
目的分析剖宫产产后出血相关因素,探讨对它的处理和预防措施。方法对该院2003年1月￣2004年12月期间剖宫产产后出血51例病例进行回顾性分析。结果分娩总人数2778例,产后出血74例,发生率2.66%,其中剖宫产(A组)771例,产后出血51例,发生率为6.61%,阴道分娩(B组)2007例,产后出血23例,发生率为1.14%,A组明显高于B组(P<0.01),差异有显著性,A组产后出血51例,平均出血量为(1173±985)mL,B组产后出血23例,平均出血量为(682±333)mL,A组明显高于B组,P<0.01,差异有显著性。剖宫产产后出血51例中主要手术指征,前6项依次为瘢痕子宫、巨大儿、前置胎盘、胎方位异常、胎儿窘迫、社会因素。产后出血原因:宫缩乏力占54.9%,胎盘因素占25.9%,子宫下段切口裂伤占19.6%。结论剖宫产产后出血率及产后出血出血量均明显高于阴道分娩者,严格把握剖宫产指征及尽量减少无指征剖宫产手术,以达到降低产后出血率。
[Objective] To analyze the relevant factors of hemorrhage after cesarean delivery ,explore the measure of treatment and protection to those kinds of conditions. [Methods] Retrospectively analyze 51 cases of hemorrhage after cesarean delivery treated in our hospital in the period of 2003-2004. [Results] Puerperal hemorrhage happened in 74 cases out of 2778 cases in total, and the rate was 2.66%（74/2778）. The rate of hemorrhage in 771 cases with cesarean delivery （Group A） was 6.61%, which was 1.14% （23/2007） in 2007 cases with vaginal delivery （Group B）. The rate of Group A was significantly higher than that of Group B （P 〈0.01）. The average capacity of hemorrhage after cesarean delivery was （1173±985） mL and （682±333） mL, respectively. The capacity of Group A was obviously more than that of Group B （P 〈0.01）. 2.Six main signs of cesarean delivery in 51 cases of hemorrhage after cesarean delivery are cicatrix uterus, fetal macrosomia, placenta previa, abnormal fetal position, fetal distress, social factors. 3. Causes of puerperal hemorrhage are uterine inertial （54.9%）, placenta factor （25.9%）, tearing of the wound in uterus （19.6%）. [Conclusion] The rate and capacity of hemorrhage after cesarean delivery are much higher than those of vaginal delivery. Strictly grasping the signs of cesarean and avoiding cesarean with no sign, can reduce hemorrhage after cesarean delivery.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2005年第16期2519-2521,共3页
China Journal of Modern Medicine
关键词
剖宫产
产后出血
cesarean delivery
puerperal hemorrhage
