中国实用妇科与产科杂志

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产后出血高危预警及防范

余琳陈敦金   

  1. 作者单位:广州医科大学第三附属医院妇产科,广东 广州510150
  • 出版日期:2014-04-02 发布日期:2014-05-04
  • 通讯作者: 陈敦金

Prediction and prevention of postpartum hemorrhage in women with high-risk pregnancies

YU Lin,CHEN Dun-jin   

  1. Department of Obstetrics and Gynecology, The Third Affiliated Hospital of Guangzhou Medical University,Guangzhou 510150,China
  • Online:2014-04-02 Published:2014-05-04

摘要:

产后出血是我国孕产妇死亡的第一位因素,子宫收缩乏力、胎盘胎膜残留、软产道损伤、凝血功能异常是常见原因。孕妇分娩前体重指数(BMI) >25.9、贫血、宫高>34.5cm, 高龄,瘢痕子宫等均是发生产后出血的临床预警信息。对具备这些警示信息的孕产妇,应及时采取针对性防范措施,以降低产后出血的发生率。

关键词: 产后出血, 瘢痕子宫, 多胎妊娠

Abstract:

Abstract:Postpartum hemorrhage is still the first factor of global maternal deathsl.Weakness of uterine contraction, placenta residue, soft birth canal injury,and coagulation function dysfunction are the common causes. BMI > 25.9 before delivery, anemia, palace high > 34.5 cm,age>35years, and scarred uterus are all the clinical early warning information of postpartum hemorrhage. In order to reduce the occurrence of postpartum hemorrhage, we should take timely targeted preventive measures to these pregnant women with high risks.

Key words: postpartum hemorrhage, scarred uterus, multiple gestations

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