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产后大出血22例临床分析体会

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目的:对造成产后大出血的相关因素进行分析,为提出合理的预防措施奠定理论基础;探讨子宫动脉栓塞法治疗产后大出血的临床疗效。方法收集我院于2011年1月至2013年1月收治的22例产后大出血患者,对每例大出血患者发生大出血的原因进行追踪和分析。并对每例产后大出血患者的治疗措施进行归纳分析,其中9例患者在常规治疗的基础上还进行了子宫动脉栓塞术治疗,将其视为试验A组;其余13例患者仅给予了常规治疗,我们将其视为试验B组,通过对两组患者的阴道出血时间、平均出血量、有效止血例数以及阴道出血复发的情况进行统计来评价两组的临床疗效。结果在22例产后大出血患者中,宫缩乏力、胎盘因素和巨大胎儿占据了导致其大出血原因的前三位,分别占总人数的31.8%、27.3%和18.2%,属于导致产后大出血的高危因素。试验A组的阴道出血时间和平均出血量较试验B组显著降低(P<0.05);试验A组13例患者中有11例有效止血,2例止血失败,且有1例出现阴道出血复发情况;而试验B组中9例患者均达到有效止血,没有阴道出血复发情况出现。结论宫缩乏力、胎盘因素和巨大胎儿是导致产妇产后大出血的主要原因,应引起医护人员的高度重视,做好防护措施;与常规治疗方法相比,子宫动脉栓塞法治疗产后大出血临床疗效更好,建议临床医生推广使用。
Experience of Clinical analysis of 22 cases of postpartum hemorrhage
objective To analyze the related factors causing postpartum hemorrhage and laying the theoretical foundation for reasonable precautions; To investigate the clinical efficacy of uterine artery embolization treatment of postpartum hemorrhage. Method Colecting 22 cases of postpartum hemorrhage patients in our hospital from January 2011 to January 2013 were treated, tracking and analyze the reasons of each of the cases of bleeding in patients with bleeding. Then the treatment for each case of postpartum hemorrhage patients were summarized and analyzed, Nine patients of 22 cases of postpartum hemorrhage patients is also carried out on the uterine artery embolization in the conventional treatment, which was regarded as the test group A. The remaining 13 patients were only given conventional treatment , we wil test it as group. By the time the two groups of patients with vaginal bleeding, the average amount of bleeding, the number of cases as wel as cases of vaginal bleeding recurrence effective hemostasis statistics to evaluate the clinical efficacy of the two groups. Result In 22 cases of postpartum hemorrhage patients, uterine inertia, placenta and fetal macrosomia occupy the top three reasons leading to bleeding were 31.8% of the total number, 27.3% and 18.2%,so They belong to the risk factors of postpartum hemorrhage. Vaginal bleeding was significantly reduced the amount of test time and average blood group A than in group B test(P<0.05). A test group of 13 patients, 11 cases effective hemostasis, two cases of failure to control bleeding, and there is one case of recurrence of vaginal bleeding. Group B test 9 patients achieved effective hemostasis, there is no recurrence of vaginal bleeding occurs. Conclusion Uterine inertia, placenta and fetal macrosomia is the main reason leading to postpartum hemorrhage, which should be attached great importance to the medical staff and good protective measures. Compared with conventional treatment, uterine artery embolization treatment of postpartum hemorrhage had better clinical efficacy, we recommend clinicians to promote the use.

义兰花

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广西贺州市妇幼保健院 542899

产后大出血 子宫动脉栓塞法 高危因素 常规治疗 临床疗效

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(12)
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