摘要
目的探讨晚期产后出血发生时间、病因及治疗措施。方法对1996年12月～2007年8月晚期产后出血32例患者的临床资料进行回顾性分析。结果发病原因依次为胎盘、蜕膜滞留、子宫切口裂开、子宫复旧不良、子宫内膜炎、重度贫血,产后绒癌。发生时间以产后2周以内占多数(21例,63.75%),部分病例(11例,36.25%)在3周以上。结论晚期产后出血主要病因是胎盘、蜕膜滞留,针对出血病因进行防治是非常重要的。积极治疗妊娠并发症和合并症、合理选择剖宫产切口等措施,防止晚期产后出血的发生。
Objective To discuss the occur time and causes and treatment of late postpartum hemorrhage to improve the survival rate. Methods To carry out a retrospective analysis of the clinic data in 32 case of late postpartum hemorrhage from Decenber, 1996 to August, 2007. Results The causes in turn of the late postpartum hemorrhage were the placental, fetal membrane remain,break down of uterus incisions,subinvolution of uterus endometritis,severe anemia,postpartum choriocarcinoma. Among them 21 cases（63.75%） of bleeding occurred within 2 weeks after labour, 11 cases（36.25%） occurred later than 3 weeks after labour. Conclusion The main cause of late postpartum hemorrhage is placental or fetal membrane remain. Through dealing with the complication of cyesis actively, reducing the remain of placenta or fetal membrane, selecting uterus incisions properly in Cesarean,the late postpartum hemorrhage may be greatly prevented.
出处
《中国现代医生》
2009年第4期19-20,共2页
China Modern Doctor
关键词
晚期产后出血
胎盘
滞留蜕膜
切口感染
Late postpartum hemorrhage
Placenta
Fetal membrane remain
Infection of incisions
