中国实用妇科与产科杂志

中国实用妇科与产科杂志

• 专题笔谈 • 上一篇    下一篇

产后出血风险管理

  

  1. 1.重庆医科大学附属第一医院妇产科 重庆市高危妊娠诊治中心，重庆 400016；2.同济大学附属第一妇婴保健院产科，上海 200126
  • 出版日期:2019-09-02 发布日期:2019-08-29
  • 通讯作者: 漆洪波
  • 基金资助:

    国家重点研发计划“生殖健康及重大出生缺陷防控研究”重点专项（2016YFC1000400；2016YFC1000407）

Risk management of postpartum hemorrhage.

  1. 1.Department of Obstetrics & Gynecology，The First Affiliated Hospital，Chongqing Medical University，Chongqing 400016，China；2.Shanghai First Maternity and Infant Hospital，Tongji University School of Medicine，Shanghai 200126，China
  • Online:2019-09-02 Published:2019-08-29

摘要：

产后出血是我国和全球孕产妇死亡的首要原因。产后出血抢救失败导致死亡的主要原因包括：低估出血量而导致治疗延误、缺乏血制品、缺乏治疗方案、缺乏知识和训练、多学科沟通不足以及缺乏有效的组织管理。因此，提高医疗机构的管理、建立产后出血的应急预案和风险评估机制是减少不良结局的要点，而建立一支训练有素、精诚合作的抢救团队则是重中之重。文章基于各大权威机构发布的产后出血指南和推荐，就产后出血的管理、应急预案和风险评估的建立、团队合作等问题进行阐述，旨在为减少严重产后出血、改善产后出血的预后提供参考。

关键词: 产后出血, 风险管理, 应急预案, 风险评估, 团队合作

Abstract:

Postpartum hemorrhage，a frequent emergency in obstetrics，is the first reason for maternal mortality in China and worldwide.The contributors to adverse outcome included delayed treatment because of underestimation of blood loss，lack of blood products，lack of treatment algorithms，lack of knowledge and training，insufficient interdisciplinary communication and inadequate management.Therefore，it is essential to improve the management of medical institutions and set up a protocol for emergency situations.Meanwhile，the key point in rescue postpartum hemorrhage is the teamwork with efficient training and cooperation.This article made a review on the management of postparttum hemorrhage，establishment of emergengy protocol and risk assessment and team cooperation based on guidelines and recommendations published by main authorities and the latest studies.The goal of the article is to provide some ideas to reduce the frequency of severe hemorrhages after delivery and improve maternal outcomes.

Key words: postpartum hemorrhage, risk management, emergency protocol, risk assessment, teamwork

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