中国实用妇科与产科杂志

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晚期产后出血高危因素及防范

周莉范玲   

  1. 作者单位:首都医科大学附属北京妇产医院,北京100021
  • 出版日期:2014-04-02 发布日期:2014-05-04
  • 通讯作者: 范玲

Risk factors and prevention of secondary postpartum hemorrhage

ZHOU Li, FAN Ling   

  1. Beijing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing 100021,China
  • Online:2014-04-02 Published:2014-05-04

摘要:

晚期产后出血常见的高危因素主要是胎盘、胎膜残留,子宫复旧不全,胎盘异常,剖宫产切口裂开或手术损伤等。主要防范措施:产后应仔细检查胎盘、胎膜是否完整。严格掌握剖宫产指征,合理选择子宫切口;按解剖结构层次缝合。介入性诊断技术在晚期产后出血方面具有诊断和治疗的双重作用。

关键词: 晚期产后出血, 高危因素, 预防

Abstract:

Abstract:Secondary postpartum hemorrhages of the common risk factors are mainly the placenta, fetal membrane residues,uterus subinvolution, placental abnormality, cesarean section incision dehiscence or surgical injury, etc. The main precautions:postpartum carefully check whether the placenta, fetal membrane integrity. Strictly grasp the cesarean delivery charges, should choose the uterus incision sutura according to the anatomical structure layers. Interventional diagnosis technology in the aspect of late postpartum hemorrhage has the dual role of diagnosis and treatment.

Key words: secondary postpartum hemorrhage, risk factors, prevention

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