中国实用妇科与产科杂志

中国实用妇科与产科杂志 ›› 2022, Vol. 38 ›› Issue (8): 773-776.DOI: 10.19538/j.fk2022080102

• 专题笔谈 • 上一篇    下一篇

阴道分娩宫缩乏力性产后出血的早期识别及处理

  

  1. 华中科技大学同济医学院附属同济医院妇产科，湖北 武汉 430030
  • 出版日期:2022-08-02 发布日期:2022-08-02
  • 通讯作者: 冯玲
  • 基金资助:
    国家重点研发计划（2021YFC2701502）

Early identification and management of postpartum hemorrhage due to uterine atony during vaginal delivery.

  1. Department of Obstetrics and Gynecology，Tongji Hospital，Tongji Medical College，Huazhong University of Science and Technology，Wuhan 430030，China
  • Online:2022-08-02 Published:2022-08-02

摘要： 子宫收缩乏力是最常见的产后出血原因，常用高危预警指标包括：出血量、失血速度、生命体征、休克指数以及纤维蛋白原水平，基于预警指标应提前做好预案，抢救措施一定要体现“主动性”，早期干预才能避免不良后果发生。

关键词: 阴道分娩, 子宫收缩乏力, 产后出血, 预警, 侵入性方法

Abstract: Uterine atony is the most common cause of postpartum hemorrhage. Common high-risk early-warning indicators include：bleeding volume，blood loss rate，vital signs，shock index and fibrinogen level. Based on early-warning indicators，plans should be made in advance. Rescue measures must reflect "initiative"，and early intervention can avoid adverse consequences.

Key words: vaginal delivery, uterine atony, postpartum hemorrhage, early warning, invasive method

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