摘要
目的 :探讨晚期产后出血的预防与治疗。方法 :对 4 2例晚期产后出血患者的临床资料进行回顾性分析。结果 :本组发病率 0 .2 4 %。子宫复旧不良及胎盘、胎膜残留为主要病因占 59.0 %。人流史、第三产程延长增加晚期产后出血的发生率 (P <0 .0 1 )。结论 :减少人流次数、正确处理第三产程、严格掌握剖宫产指征、及时行B超检查能有效预防晚期产后出血的发生。治疗应视具体情况采取对因、对症等综合措施。
Objective:To study the prevention and treatment for the late puerperal hemorrhage.Methods:The clinical data of 42 cases of late puerperal hemorrhage are analysed retrospectively.Results:The morbidity of late puerperal hemorrhage is 0.25% in this group. Main causes of the disease are subinvolution of uterus and remnants of placenta and embryolemma (amounting to 59.0%). History of artificial abortion and prolongation of placental stage also can increase the incidence of the disease ( P <0.01).Conclusion:In order to prevent the late puerperal hemorrhage, the following measures should be taken:decreasing the times of artificial abortion, correctly treating the placental stage, strictly limiting the indications of hysterotokotomy and timely B-ultrasonic examination. Combined treatments as etiological and expectant therapies should be employed accordingly for the disease.
出处
《杭州医学高等专科学校学报》
2000年第3期143-144,146,共3页
Journal of Hangzhou Medical College
关键词
晚期产后出血
预防
治疗
Late puerperal hemorrhage
Prevention
Therapy
