摘要：目的 探讨引起产后出血的相关因素,提出合理的防治措施.方法 以2004年6月至2009年8月在本院分娩的45例产后出血产妇为总结分析对象,把胎儿娩出后24 h内出血量达到或超过500 ml视为产后出血,对产妇的一般情况、产后出血发生率、产后出血量及时间、产后出血原因、产后出血的危险因素等进行分析.结果 产妇发生产后出血45例,产后出血发生率为1.8%;其中宫缩乏力和胎盘粘连是主要因素.结论 产后出血的相关因素较多,充分认识产后出血的主要原因,正确处理胎盘异常情况,是预防和减少产后出血的重要措施. Abstract： Objective To explore the related factors of postpartum hemorrhage and propose possible preventive measures. Methods Collected the data of parturients 45 cases in our hospital between June 2004 and August 2009, and postpartum hemorrhage was defined as blood loss more than 500 ml during 24 hours after fetal disengagement.We analyzed the general condition of the parturients, incidence rate,the amount of bleeding and time of postpartum hemorrhage,the cause and risk factors of postpartum hemorrhage etc.Results There were 45 cases of postpartum hemorrhage among parturients. The incidence rate of postpartum hemorrhage was 1.8%. The uterine inertia and placental adherence were the main factors.Conclusions There are many related factors of postpartum hemorrhage,that thoroughly realize the main cause of postpartum hemorrhage and correctly handle abnormal condition of placenta is important measures to prevent and reduce postpartum hemorrhage.

关键词：产后出血原因 相关因素分析 预防措施 postpartum hemorrhage 

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