摘要
通过对我院１９８６～１９９２年４１例产妇发生软产道血肿的原因、部位及相关因素进行分析，提出产后血肿多于产时血肿。其中６６％是由于缝合不良，１２％系粘膜擦伤。急产、第二产程过长、早产、双胎以及妊娠合并症是导致产道血肿的主要相关因素，医护人员的素质，特别是助产人员的接生技术与血肿的发生关系密切。讨论了血肿的处理方法，重点论论述了预防产道血肿的措施，强调产前注意观察产程进展，临产和分娩过程中做好产妇心身护理，产后细心检查、认真缝合以及密切观察是避免和减少产道血肿发生以及减轻血肿危害的有效措施。
The authors analysed the causes,site and correlative factors of hematoma formed on the soft parturient canal in 41 parturients from 1986 to 1992 in their hospital.The results showed that the hematoma after delivery appeared at birth because of poor suture (66%),abrasion of the mucosa (12%),precipitate labor,the prolonged second birth process,premature Labor,twins,complications of pregnancy and technique of midwives,etc.The authors discussed the management,particularly measures of prevention of hematoma on the parturient canal.Their suggestions were as follows: close observation of the advance of birth process before birth,good nursing for parturientes' mental health before and during labor,careful examination after birth,careful suture and observation.
关键词
产道血肿
护理
心身护理
预防
病因
Hematoma of the parturient canal,Factors,Mental health,Measures for prevention
