产后早期出血65例临床的研究.docVIP

产后早期出血65例临床的研究 　　[摘要] 目的 研究产后早期出血的临床基本情况。 方法 选取产后早期出血的产妇65例，均根据出血原因和出血量予以救治，对发生产后早期出血的相关因素进行统计分析，并对不同治疗方式与出血量的关系，以及治疗结果进行分析。 结果 孕产次1次的产妇、具有流产和引产史以及合并症的产妇发生早期产后出血的概率相对更高；宫缩乏力所致产后早期出血的概率明显更高（P 0.05）；出血量在500 ml～的产妇主要采用常规方式治疗，出血量在1000 ml～以及2000 ml以上的产妇均同时有切除子宫方式治疗者，且出血量在2000 ml以上产妇切除子宫率相对更高（P 0.05）；65例患者均成功治愈。 结论 对产后早期出血加强防范，一旦出现后应根据发生原因及出血量等采用合理的救治方式，以提高临床治愈率，减少危险情况的发生。 　　[关键词] 产后早期出血；相关因素；临床研究 　　[中图分类号] R714.46+1 [文献标识码] A [文章编号] 1674-4721（2013）06（c）-0038-03 　　Clinical research about early postpartum hemorrhage of 65 cases 　　CHEN Fangying 　　Meihua Health Hospital in Maonan District of Maoming City，Guangdong province，Maoming 525021，China 　　[Abstract] Objective To research the clinical basic situation of early postpartum hemorrhage. Methods 65 cases of postpartum early maternal hemorrhage were selected，all treatment according to the bleeding and blood loss，the related factors of early postpartum haemorrhage was statistical analyzed，its relationship with blood loss and the different treatments and treatment results were analyzed. Results 1 time of maternal maternal times， had a history of abortion and induced labor and complications of maternal the chance of early postpartum hemorrhage was relatively higher；Contractions fatigue due to risk of early postpartum hemorrhage were significantly higher （P 0.05）；The bleeding in 500 ml- of maternal mainly adopts conventional treatment，the bleeding in 1000 ml- and 2000 ml of maternal above at the same time had a hysterectomy treatment，and the hysterectomy rate appeared in 2000 ml above maternal was relatively higher （P 0.05）；65 patients were successfully cured. Conclusion Increased prevention of early postpartum hemorrhage，once appear，should according to the causes and the bleeding after reasonable treatment method，in order to improve the clinical cure rate，reducing the occurrence of the dangerous situation. 　　[Key words] Early postpartum hemorrhage；The related factors；Clinical research 　　产后出血是临床常见的一种分娩并发症，而发生于产后24 h