摘要
目的分析比较10年前后产后出血的高危因素、治疗方案及对产妇影响的变化,总结优势治疗方案。方法回顾性统计2001年和2011年妇产科收治的产后出血患者,对患者的一般资料、妊娠并发症和合并症及临床资料进行比较。结果 2001年产后出血发生率为0.48%,导致产妇子宫切除为0;2011年产后出血发生率为0.77%,导致产妇子宫切除为3.77%。瘢痕子宫、前置胎盘和急诊手术与产后出血正相关。结论产后出血仍是产妇不良结局的重要因素,应降低剖宫产率,减少高危妊娠的发生,从而降低产后出血。
Objective To analyze the risk factors,the treatment options and the maternal effects of postpartum hemorrhage in 2001 and 2011, so as to determine the better treatment programs. Methods A retrospective study of postpartum hemorrhage was performed, the gen- eral data of the patients admitted in obstetrics and gynecology of Shengjing Hospital in 2001 and 2011 were analyzed,including the complica- tions of pregnancy and complications, bleeding volume ,the maternal outcome and neonatal status. Results The incidence of postpartum hemorrhage in 2001 was 0.48%, the leading cause of postpartum hemorrhage was emergency operation, maternal mortality was 0;in 2011, the incidence of postpartum hemorrhage was 0.77% （resulting in hysterectomy of 3.77% ）, maternal mortality is 0. Placenta previa, emergency operation, and scar uterus was positive correlated with postpartum hemorrhage. Conclusion Postpartum hemorrhage was the most important factor of poor maternal prognosis, we should reduce the rate of cesarean section, reduce high-risk pregnancy, so as to reduce postpartum hem- orrhage.
出处
《中国医科大学学报》
CAS
CSCD
北大核心
2013年第6期532-534,共3页
Journal of China Medical University
基金
卫生部卫生行业科研专项(201002013)
关键词
产后出血
瘢痕子宫
高危因素
postpartum hemorrhage
scar uterus
risk factors
