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总结了1985年1月1日～1994年12月31日同济医院住院治疗的85例晚期产后出血的病例，其中阴道分娩66例（同济医院58例），剖宫产术19例（同济医院8例）。文献报道晚期产后出血的发生率为0．28％，同济医院为0．21％。其主要病因为胎盘、胎膜残留，子宫内膜炎和（或）蜕膜炎，以及剖宫产术后子宫切口感染、裂开出血等。文献报道后者发生率为1．26‰，同济医院为1．1‰。治疗以清宫术为主，对急性大出血者可行髂内动脉结扎或子宫切除术。同济医院目前应用的经皮髂内动脉造影栓塞治疗为一安全可靠的方法，值得推广。
A total of 85 cases of postpartum hemorrhage treated in Tongji Hospital from January 1, 1985 to December 31, 1994 were summarized. Among them, 66 were vaginal delivery (58 in Tongji Hospital), 19 were cesarean (Tongji Hospital 8 example). The incidence of late postpartum hemorrhage reported in the literature was 0.28%, 0.21% in Tongji Hospital. The main cause of the placenta, residual fetal membranes, endometritis and (or) decidua, and uterine incision infection after cesarean section, split bleeding. The latter reported the incidence of 1.26 ‰, Tongji Hospital 1.1 ‰. Treatment of the main curettage, acute bleeding in the feasible internal iliac artery ligation or hysterectomy. Tongji Hospital, the current application of percutaneous iliac artery occlusion embolization is a safe and reliable method, it is worth promoting.