摘要：目的：探讨晚期产后大出血的发生原因，提出防治措施。方法：对我院1992年1月至2000年1月收治的晚期产后大出血36例病例进行回顾性分析。结果：出血主要原因是胎盘胎膜残留，其次是子宫胎盘附着面感染或复旧不良、剖宫产术后晚期出血。结论：采用宫缩素及抗感染、清宫术等对症治疗，对急性出血者可行经皮髂内动脉栓塞术或子宫切除术。

    关键词：晚期产后大出血; 病因;治疗

    Clinical Analysis of 36 Cases with Late Postpartum Hemorrhage

    ZHOU Hong-xia

    (Baoan Xixiang People’s Hospital, Guangdong Shenzhen 518102, China)

    Abstract: Objective: To investigate the etiology, prevention and management of late postpartum hemorrhage. Method: To analyze retrospectively the etiology and management of 36 cases of late postpartum hemorrhage. Result: The main causes were retained placenta and membranes, endometritis and decidualitis, subinvolution of uterus, infection dehiscence and hemorrhage of caesarean incision in turn. Conclusion: The first choice of treating late postpartum hemorrhage is curettage. Acute hemorrhage can be controlled by transcutaneous internal iliac artery embolization or total hysterectomy.

    Key words: Late Postpartum Hemorrhage；Etiology；Therapy

    产后24h后 ......