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目的探讨产后出血的原因、危险因素与防治措施。方法回顾分析我院近6年来收治的183例产后出血患者的分娩方式、出血原因及抢救措施。结果出血原因中宫缩乏力占56.28%,胎盘因素占25.68%,软产道损伤占16.94%。影响产后出血的危险因素主要是分娩中的损伤、妊娠并发症和人流引产史。结论产后出血是多种原因和多种危险因素所致,应针对具体病因综合应用药物,进行各种保守性手术是治疗产后出血的有效措施。
Objective To investigate the causes, risk factors and prevention measures of postpartum hemorrhage. Methods Retrospective analysis of 183 cases of postpartum hemorrhage admitted to our hospital in the past 6 years, the mode of delivery, causes of bleeding and rescue measures. Results The causes of uterine inertia accounted for 56.28%, placental factors accounted for 25.68%, soft birth canal injury accounted for 16.94%. The main risk factors affecting postpartum hemorrhage are the birth injury, pregnancy complications and abortion history. Conclusions Postpartum hemorrhage is caused by many causes and various risk factors. Comprehensive application of drugs should be based on specific causes. Various conservative operations are effective measures for postpartum hemorrhage.