宫缩乏力性产后出血62例临床分析.docVIP

宫缩乏力性产后出血62例临床分析 　　doi：10.3969/j.issn.1007-614x.2014.15.49 　　摘 要 目的：探讨宫缩乏力性产后出血的原因，分析产后出血与机体神经内分泌调节的关系。方法：2013年1月-2014年3月收治孕产妇3 867例，其中剖宫产2 496例，阴道分娩1 371例。对有可能产后出血的高危人群或已发生产后出血者立即进行应急预案。结果：62例患者均治疗成功，无一例行子宫切除及死亡病例发生。结论：治疗子宫收缩性产后出血时除及时补充缩宫物质外，加强对子宫刺激，促进神经反射冲动的传导也是至关重要的。 　　关键词 宫缩乏力 产后出血 神经内分泌 前列腺素物质 　　Clinical analysis of 62 cases with uterine atony postpartum hemorrhage 　　Song Haiqin 　　The Peoples Hospital of Wuyang Country，Henan 462400 　　Abstract Objective：To investigate the causes of postpartum hemorrhage caused by uterine inertia，and analyze the relationship between postpartum hemorrhage and the neuroendocrine regulation.Methods：3867 pregnant women were selected from January 2013 to 2014 March，includ 2496 cases of cesarean section and 1371 cases of vaginal delivery.We took the emergency plan for the high-risk groups of who may occur postpartum hemorrhage or who had occurred postpartum hemorrhage immediatelyResults：62 patients were treated successfully.1 cases underwent hysterectomy and no deaths occurred.Conclusion：When we treat the postpartum hemorrhage of uterine contraction，in addition to replenish the oxytocin substances，strengthen the uterine stimulation and promote the nerve impulse conduction is crucial too. 　　Key words Uterine atony；Postpartum hemorrhage；Neuroendocrine；Prostaglandins substances 　　doi：10.3969/j.issn.1007-614x.2014.15.49 　　摘 要 目的：探讨宫缩乏力性产后出血的原因，分析产后出血与机体神经内分泌调节的关系。方法：2013年1月-2014年3月收治孕产妇3 867例，其中剖宫产2 496例，阴道分娩1 371例。对有可能产后出血的高危人群或已发生产后出血者立即进行应急预案。结果：62例患者均治疗成功，无一例行子宫切除及死亡病例发生。结论：治疗子宫收缩性产后出血时除及时补充缩宫物质外，加强对子宫刺激，促进神经反射冲动的传导也是至关重要的。 　　关键词 宫缩乏力 产后出血 神经内分泌 前列腺素物质 　　Clinical analysis of 62 cases with uterine atony postpartum hemorrhage 　　Song Haiqin 　　The Peoples Hospital of Wuyang Country，Henan 462400 　　Abstract Objective：To investigate the causes of postpartum hemorrhage caused by uterine inertia，and analyze the relationship between postpartum hemorrhage and the neuroendocrine regulation.Methods：3867 pregnant women were select