Experience in the Diagnosis and Treatment of Severe Postpartum Hemorrhage
- VernacularTitle:严重产后出血的诊治体会
- Author:
Qin LU
1
;
Wenjiao LI
;
Wanling JIN
Author Information
1. 上海市长宁区中心医院
- Keywords:
Severe postpartum hemorrhage;
Main factors;
Early detection
- From:
Chinese Journal of Clinical Medicine
2015;(1):86-88
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the main contributory factors to severe postpartum hemorrhage (PPH) and to identify its early clinical signals . Methods :The clinical data of 93 patients with severe PPH from January 2008 to December 2012 were retrospectively analyzed on the main contributory factors to severe PPH and its indexes for the early identification .Results:Simple uterine atony , placenta factors and trauma accounted for 50 .54% (47/93 ) ,24 .73% (23/93 ) ,18 .28% (17/93 ) , respectively ,of the reasons for severe PPH .After delivery ,faster 1 h pulse ,1 h shock index≥1 and 2 h urine output<50 mL/h accounted for respectively 53% ,35% and 27% in the 93 cases .However ,2 h shock index ≥1 ,1 h and 2 h systolic blood pressure <90 mmHg ,2 h blood coagulation disorders had little significance in the early detection of severe PPH ,which merely reflected the severity of PPH .Conclusions :The main causes of severe PPH are uterine atony and placenta factors .The changes of maternal pulse and shock index are conducive to the early analysis of severe PPH .
