严重产后出血的诊治体会.pdfVIP

Chinese Journal of Clinical Medicine Vol No h h h mL h h h h mmHg h R A Experience in the Diagnosis and Treatment of Severe Postpartum Hemorrhage L U Qin L I W enj iao JI N W anling Chang ning Central Hosp ital Shang hai China Chang ning M aternal and Child H ealth Care H osp ital Shang hai China Abstract Objective To analyze the main contributory factors to severe postpartum hemorrhage PPH and to identify its early clinical signals Methods The clinical data of atients with severe PPH from January to December were p retrospectively analyzed on the main contributory factors to severe PPH and its indexes for the early identification Results Simple uterine atony lacenta factors and trauma accounted for p respectively of the reasons for severe PPH After delivery faster h pulse h shock index and h urine output mL h accounted for respectively and in the cases However h shock index h and h systolic blood pressure mmHg h blood coagulation disorders had little significance in the early detection of severe PPH which merely reflected the severity of PPH Conclusions The main causes of severe PPH are uterine atony and placenta factors The changes of maternal pulse and shock index are conducive to the early analysis of severe PPH Key Words Severe postpartum hemorrhage Main factors Early detection