Late clinical analysis of 114 cases of postpartum hemorrhage.docVIP

 PAGE \* MERGEFORMAT 8 Late clinical analysis of 114 cases of postpartum hemorrhage [Keywords:] postpartum hemorrhage; delivery; treatment Late postpartum hemorrhage is the work of family planning technical services are often encountered clinical problem, the rate was 0.28% [1]. A lot of grassroots family planning, medical staff lack a correct understanding of the disease, to bring some difficulties in clinical work. In this paper, I got the 114 treated patients with advanced cases of postpartum hemorrhage were retrospectively analyzed, designed to improve awareness of this disease. 1 Materials and Methods 1.1 General Information January 1994 ~ December 2008 I got were treated 114 cases of late postpartum hemorrhage, minimum age 20, maximum 38 years. Primigravida which 55 cases (48.3%), the maternal in 59 cases (51.8%) . 83 cases of vaginal delivery, cesarean section 31; 1 week postpartum hemorrhage occurred in 25 patients, 1 to 2 weeks after delivery were 39 patients, 2 to 3 weeks in 21 cases, 3 to 4 weeks in 17 cases, 4 weeks in 12 cases. bleeding 500 ml 36 cases (31.6%), 500 ~ 1 000 ml 42 cases (36.8%), 1 000 ~ 2 000 ml 19 patients (16.7%), 2 000 ml or more 17 cases (14.9%); there were 27 cases (23.7%) blood pressure decreased significantly, shock symptoms, 2 patients (1.8%) the most severe drop in blood pressure to 0. patients showed varying degrees of decline in hemoglobin, minimum 1.3 g / L, low at 8.0 g / L were 72 cases (63.2%); 35 cases (30.7%) different degrees of body temperature. The data of 114 cases, the primary disease because the placenta, fetal membrane residues, endometritis, and (or) shed meningitis, poor uterine involution, uterine incision infection, dehiscence, including 1 case of hemangioma of the left uterine artery rupture true. hemorrhage in the relationship between cause and mode of delivery, see Table 1. Table 1 114 cases the cause of late postpartum hemorrhage and the relationship between mode of delivery 1.2 Treatmen