摘要
产后出血居我国产妇四大死亡原因之首。诊断的关键是准确估计出血量。产后出血的病因归纳为:张力(tone)、组织物(tissue)、创伤(trauma)和凝血酶(thrombin)。宫缩乏力是最常见原因。第三产程采取积极措施可减少产后出血。产后出血的处理包括药物和手术治疗,例如宫腔填塞、子宫背包缝合、子宫动脉栓塞或血管结扎,必要时切除子宫。预防、早期诊断和及时适当的干预是成功救治产后出血的关键。
Postpartum haemorrhage （PPH） is an important cause of maternal mortality. The cause of PPH is commonly due to abnormalities of one or a combination of four basic reasons. Those are uterine atony; retained placenta; genital tract trauma and coagulation abnormalities. Uterine atony is the most common reason. Active management of the third stage of labor can prevent or reduce PPH. Effective evaluation is critical to allow appropriate therapeutic interventions. There are two approaches for controlling haemorrhage, i. e. , use of drugs and surgery, such as uterine balloon tamponadel uterine compression sutures; uterine artery embolization and peripartum hysterectomy. Accurate diagnosis and appropriate management of obstetric haemorrhage can reduce maternal morbidity and mortality.
出处
《生殖医学杂志》
CAS
2012年第2期189-193,共5页
Journal of Reproductive Medicine
关键词
产后出血
流行病学
宫缩乏力
Postpartum haemorrhage
Epidemiology
Uterine atony
