急诊产科输血相关因素分析
 |
| 第1页 |
参见附件(1714KB，2页)。
[摘要] 目的：分析急诊产科输血原因及其相关因素。探讨如何降低和减少急诊产科输血的措施。方法：对我院2009年1月～2010年9月住院分娩并行急诊输血的20例产妇分娩相关资料进行回顾分析，评价各相关因素与产科输血的关系。结果：急诊产科输血率为0.55%，输血原因主要为严重的产后出血及分娩前合并重度贫血；严重产后出血为多种高危因素共同作用所致，按其引起出血的主要因素分别为宫缩乏力、胎盘因素、产道裂伤、医源性产后观察不严密等；产后出血≥2 000 ml阴道分娩(77.8%，7/9)明显高于剖宫产分娩(27.3%，3/11)，两者比较，差异有统计学意义(P<0.01)。阴道分娩所致的产后出血原因中除宫缩乏力和胎盘因素外，产道裂伤与医源性产后观察不严密亦为其独立危险因素。结论：加强分娩前后特别是阴道分娩前后高危孕产妇产后出血的规范防治，积极治疗围生期中、重度贫血，有助于降低和减少产科急诊输血。
[关键词] 产科输血；相关因素；产后出血
[中图分类号] R457.1[文献标识码]A [文章编号]1673-7210(2011)03(b)-036-03
The correlation factor analysis of emergent obstetrical blood transfusion
WAN Fen, WU Shiyuan, KANG Zhaohai, XIONG Yubing
Department of Gynaecology and Obstetrics, the Maternal and Child Health Hospital of Yueyang City, Yueyang 414000, China
[Abstract] Objective: To discuss the causes and related factors of emergent obstetrical blood transfusion and probe the measures to reduce and decrease emergent obstetricalblood transfusion. Methods: Retrospectively analyzed the delivery data of 20 cases who delivered and emergent blood transfused in our hospital during January 2009 to September 2010, estimate the relationship between each related factor and emergent obstetrical blood transfusion. Results: The rate of emergent obstetrical blood transfusion was 0.55%, the main causes were severe postpartum hemorrhage and pre-delivery complicated severe anemia. Severe postpartum hemorrhage was caused by the interaction of multi high risk factors, the main factors are in low order of effects: uterine inertia, placenta reason, parturient canal laceration,medical imprecise postpartum observation etc. Vaginal delivery postpartum hemorrhagev ≥2 000 ml (77.8%, 7/9) was obviously higher than that of cesarean section (27.3%, 3/11), the difference was significant (P<0.01). Parturient canal laceration and medical imprecise postpartum observation were also independent risk factors in vaginal delivery postpartum hemorrhage besides uterine inertia and placenta reason. Conclusion: Enhancement of the normative prevention and cure of postpartum hemorrhage in high-risk pregnant and lying-in women before and after delivery especially vaginal delivery, energetically cure moderate to severe anemia in perinatal period, are help to reduce and decrease emergent obstetrical blood transfusion ......
您现在查看是摘要介绍页，详见PDF附件(1714KB，2页)。