产后出血的临床特点与护理技术分析.doc

论 文 题 目：产后出血的临床特点与护理 产后出血的临床特点与护理 摘要 目的 多产妇是产后宫缩乏力的高危因素，要降低产后出血的发生率，必须做好产后出血的临床分析，总结产后出血的原因以及产后出血的护理对策。方法 对 81例产后出血患者进行临床护理和观察，其中剖宫产20例。发生率为2.02%，经产妇占75.3%，初产妇占24.7%产后出血原因：宫缩乏力居第1位，共51例，占62.7%，其次是胎盘滞留13例占16%。结果 经对产后出血患者治疗后， 81例患者均痊愈出院。结论 多产妇是产后宫缩乏力的高危因素，要降低产后出血的发生率，必须做好计划生育工作，加强产前检查，纠正异常胎位，严密观察产程，减少滞产的发生，其次保障产妇的身心健康及生命安全，是重中之最。 关键词 产后出血；临床特点；护理 The clinical features of postpartum hemorrhage and nursing Abstract object More women are risk factors for postpartum uterine inertia, and to reduce the incidence of postpartum hemorrhage, postpartum hemorrhage clinical analysis must be prepared to summarize the reasons for postpartum hemorrhage postpartum hemorrhage and nursing strategies.method 81 cases of postpartum hemorrhage in patients with clinical care and observation, of which 20 cases of cesarean section. Fat cow was 2.02%, the mothers accounted for 75.3%, accounting for 24.7% of early maternal postpartum hemorrhage causes: uterine inertia ranks No. 1, a total of 51 cases, accounting for 62.7%, followed by 13 cases of retained placenta 16%.Result After treatment for postpartum hemorrhage patients, 81 patients were cured.Conclusion More women are risk factors for postpartum uterine inertia, and to reduce the incidence of postpartum hemorrhage, family planning work must be done to strengthen prenatal care, correct abnormal fetal position, close observation of the production process, reduce the incidence of prolonged labor, followed by protection of the mothers body and mind health and life, is important in the most. Key words Postpartum hemorrhage; clinical features; nursing 产后出血 (PostPartumhemorrhage，PPH)是指胎儿娩出后 24h 阴道流血量超过 500ml，其发生率占分娩总数的 2%-3%。一直以来，产后出血是全世界孕产妇死亡的最主要原因之一。WHO 已发布的数据显示，全球每年四分之一的孕产妇死亡是产后出血造成的。在我国，产后出血是孕产妇死亡的首位原因，占 43%；在美国居第二位，占 21%。产后出血是一种发生、发展非常迅速的产科严重并发症，80%以上的产后出血发生在产后 2 小时之内，近期可在短时间内引起失血性休克、弥漫性血管内凝血、产后贫血等并发症，甚至导致孕产妇死亡；即使那些经过抢救存活的妇女远期也可造成产褥感染、远期心理疾病、输血后疾病及席汉氏综合征等不良结局。国际上各国之间通常把产后出血作为衡量国家医疗水平的重要指标，同时大量研究表明产后出血是可以预防的，因此，对其病因的研究以及由此提出防治措施