Advanced analysis of 23 cases of postpartum hemorrhage.docVIP

 PAGE \* MERGEFORMAT 5 Advanced analysis of 23 cases of postpartum hemorrhage [Keywords:] postpartum hemorrhage; Analysis Late postpartum hemorrhage is an important complication of obstetric, patients can lead to shock, even life-threatening. In January 2001 to January 2009 were treated the late postpartum hemorrhage in 23 cases, the total number of hospital deliveries over the same period accounted for 0.32%, accounting for the same period of postpartum hemorrhage 9.7% of cases. haemorrhage due mainly to residual placental membranes, followed by poor uterine attachment, this group of patients with uterine curettage, uterine hormone and antibiotics and other symptomatic treatment, a routine subtotal hysterectomy, with no deaths . 24 h after birth, the uterus in the postpartum massive hemorrhage occurred, as a late postpartum hemorrhage, the paper from January 2001 to January 2009 were treated in 23 patients with advanced cases of postpartum hemorrhage were analyzed retrospectively. 1 Materials and Methods 1.1 General information on 23 cases, minimum age 20, maximum 35 years old, average 25 years old, are full-term pregnancy, including 21 cases of primipara, the mother in 2 cases, 6 cases had history of induced abortion, accounting for 0.32 over the same period the total number of hospital delivery % (23 / 7, 122), accounting for the same period cases of postpartum hemorrhage 9.7% (23/237), 23 patients with severe anemia in 15 cases (65.21%), hemorrhagic shock in 10 patients (43.47%), in 8 years statistics prior to 4 years in 15 cases, 8 cases after 4 years. 1.2 The diagnostic criteria of late postpartum hemorrhage postpartum hemorrhage late there is no uniform diagnostic criteria. The patients selection criteria for the post-24 h, showed off a small amount of bleeding or intermittent to moderate amount of vaginal bleeding, total blood loss was 500 ml or more . this group of patients the amount of bleeding for at least 500 ml, up to 3 000 ml. 1