109例产后出血孕妇及新生儿高危因素的相关性分析
| 作者: |
1赵金辉,
2王晨娜,
1庄太凤
1 首都医科大学附属北京妇产医院输血科，北京 100026 2 北京朝阳医院检验科，北京 100043 |
| 通讯: |
庄太凤
Email: ztf19731972@126.com |
| DOI: | 10.3978/j.issn.2095-6959.2016.09.031 |
摘要
目的：探讨产后出血孕妇发生出血现象的高危影响因素及对新生儿的影响，进而为孕妇产后出血的预防和治疗提供有效的方法和措施。方法：统计我院2008年7月至2015年8月产妇产后24 h之内输血量(包括红细胞悬液1 U按200 mL计算和新鲜冰冻血浆)超过1 600 mL的患者109例，对其出现产后出血问题的相关因素进行分析研究。结果：产妇年龄、妊娠次数、剖宫产再孕、胎盘因素、新生儿体重及母乳喂养情况等因素均与产后出血的发生存在着密切的联系。结论：对于存在高危因素的患者应采取科学性、针对性的预防措施，减少术中出血量，做到合理用血，科学用血，尽可能地将母婴所受伤害降到最低。
关键词：
产后出血
产科输血
高危因素
The analysis of high factors to postpartum hemorrhage of 109 cases
CorrespondingAuthor: ZHUANG Taifeng Email: ztf19731972@126.com
DOI: 10.3978/j.issn.2095-6959.2016.09.031
Abstract
Objective: To explore the high risk factors of postpartum hemorrhage bleeding problems and provide the effective measures of prevention and treatment for patients. Methods: The clinical data of 109 cases of puerpera transfused red blood cells more than 1 600 mL within 24 h was collected and analyzed from July 2008 to August 2015. Results: The factors of maternal age, number of pregnancies, cesarean section pregnant again, placenta factor birth weight and adhesions had closed association with postpartum hemorrhage. Conclusion: The scientific and targeted prevention measures should be taken to reduce the amount of bleeding for the pregnant patients with high risk factors, decrease bleeding during surgery, transfuse blood reasonably, and minimize the damage to puerpera infants as much as possible.