摘要
目的研究分析产后出血患者的产前高危因素,寻找出血原因。方法根据1999年1月~2015年1月我院的1 707例产后出血病例进行回顾,对产妇的出血高危因素、出血量、出血原因等进行总结分析。结果产后出血患者中55.1%有过流产史,17.9%存在前置胎盘症状,15.9%在妊娠期有高血压疾病;高危因素产后出血的出血量平均是（782.3±683.3）ml,无高危因素产妇的平均出血量（571.0±225.7）ml,其结果存在统计学差异性（P〈0.05）。产妇出现产后出血的原因有子宫收缩乏力、胎盘因素、软产道损伤、凝血功能障碍等;产后2h出现出血症状的产后患者比例是86.0%。结论产前高危因素会增加产后出血的几率,主要因素是子宫收缩乏力,胎盘因素和凝血功能障碍因素导致的产后出血量,比子宫收缩乏力和软产道损伤导致的出血量多。
Objective To study the risk factors of postpartum hemorrhage in the patients with postpartum hemorrhage, and to find the cause of the bleeding. Methods Selected 1 707 cases of postpartum hemorrhage from January 1999 to January 2015 in our hospital to review analysis, analyzed and summary of the maternal risk factors for bleeding, bleeding volume, cause of bleeding. Results The incidence of postpartum hemorrhage in patients with 55.1% had a history of miscarriage, placenta previa symptoms there is 17.9%, 15.9% in gestational hypertension disease, risk factors of postpartum hemorrhage was the amount of bleeding was the average（782.3 ±683.3） ml, without high risk factors of maternal blood loss averaged（571.0±225.7） ml. The results show that the statistical differences（P0.05）. These maternal postpartum hemorrhage is uterine atony, placenta factor, injury of soft birth canal, coagulation dysfunction et al, after 2 hours of the onset of symptoms of the proportion of patients with postpartum hemorrhage was 86.0%. Conclusion Prenatal risk factors will increase the risk of postpartum hemorrhage, postpartum hemorrhage is mainly due to uterine atony, placenta and coagulopathy factors of postpartum bleeding to lead to uterine atony and soft birth canal injury than the amount of bleeding.
出处
《中国继续医学教育》
2016年第6期75-76,共2页
China Continuing Medical Education
关键词
产后出血
高危因素
原因
Postpartum hemorrhage
High risk factors
Causes
