非计划医院外分娩产妇产后出血的临床分析.pdfVIP

王小敏等 非计划医院外分娩产妇产后出血的临床分析 第5期 · 615· 非计划医院外分娩产妇产后出血的临床分析 王小敏 王小燕 广东省深圳市龙岗区布吉人民医院 518112 中国图书分类号 m73 文献标识码 A 文章编号 loo1-4411(2008 J 05-0615-03 【摘 要】 目的：探讨非计划医院外分娩产妇产后出血的产科特征及防治方法。方法：对1993年1月一2005年12月我院 收治的116例院外分娩产后出血病例进行回顾性分析。结果：13年间非计划院外分娩产妇产后出血共116例，占同期产后出血 21．93％，平均出血量863．60 ml，89．66％发生在产后2 h内。院外分娩产妇趋向于年龄大、产次多、教育程度低、社会经济地 位低下和缺乏产前检查。子宫收缩乏力 (49．14％)、胎盘滞留 (40．52％)、软产道损伤 (10．34％)是产后出血的主要原因。仅 2例行全子宫或次全子宫切除术，无1例死亡。结论：非计划医院外分娩是产后出血的重要危险因素，应切实加强计划生育和围 产期保健工作，坚决取缔非法诊所和非法接生，提高住院分娩率以降低产后出血的发生。 【关键词】 产后出血 院外分娩 危险因素 Clinical analysis of postpartum hemorrhage of non planned delivery outside hospital of the lying—in women WANG Xiao—Min，WANG Xiao—Yan．B Peoples Hospital in Longgang D~trict ofShenzhen，Shenzhen 518112，China [Abstract~ Objective：To explore the features and treatment of postpartum hemorrhage of non planned delivery outside hospital of the lying—in women．Methods：The postpartum hemorrhage data of 1 16 delivery outside hospital of the lring—in women from Jan．1993 to Dec．2005 were retrospectively analyzed．Results：1 16 postpartum hemorrhage in these 13 years accounted for 21．93％ of the s81ne period postpartum hemorrhage with average volume 863．60 m1．89．66％ happoned within 2 h after delivery．The lying—in women d~livery out— side hospital had more older age，more parities，lower education level and socioeconomic status and lacked of antenatal examination．Uterine contraction debility(49．14％)，retained placenta(40．52％)and soft birth canal iIIjury(10．34％)were main causes．Only 2 cases had complete hysterectomy or partial hysterectomy，none died．Conclusion：Non planned delivery outside hospital is the main risk factor of postpartum hemorrhage．The family planning and perinatal care work should be strengthened to prohibit illegal clinics and illegal midwifery to increase childbirth rate in hospital and to decrease the rate of postpartum hemorrhage． [K