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中华妇幼临床医学杂志(电子版) ›› 2015, Vol. 11 ›› Issue (03) : 402 -406. doi: 10.3877/cma.j.issn.1673-5250.2015.03.025

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综述

产后出血早期识别的研究进展
龚云辉1, 桂顺平1, 周容1,*,*()   
  1. 1. 610041 成都,四川大学华西第二医院妇产科
  • 收稿日期:2015-04-07 修回日期:2015-05-15 出版日期:2015-06-01
  • 通信作者: 周容

Research progress of early identification to postpartum hemorrhage

Yunhui Gong1, Shunping Gui1, Rong Zhou1()   

  1. 1. Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
  • Received:2015-04-07 Revised:2015-05-15 Published:2015-06-01
  • Corresponding author: Rong Zhou
  • About author:
    Corresponding author: Zhou Rong, Email:
引用本文:

龚云辉, 桂顺平, 周容. 产后出血早期识别的研究进展[J/OL]. 中华妇幼临床医学杂志(电子版), 2015, 11(03): 402-406.

Yunhui Gong, Shunping Gui, Rong Zhou. Research progress of early identification to postpartum hemorrhage[J/OL]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2015, 11(03): 402-406.

产后出血是产科常见并发症,大量而快速的产后出血严重威胁孕产妇生命安全,是我国甚至全球导致孕产妇死亡的首要原因。产后出血患者从发病到死亡,病情发展迅速,因此要求临床工作者能够对其进行早期诊断,并采取有效治疗措施挽救产妇子宫及其生命。这与能否早期识别该病,以及该病患者的预后有着密切关系。在临床实践过程中,目前尚无针对早期识别产后出血、避免陷入早期诊断陷阱的方法。笔者拟综合国内外相关资料分析认为,早期识别产后出血需要结合高危因素、出血量估计及有效临床指标综合评价,避免盲目相信错误指标而错失抢救时机。

Postpartum hemorrhage, as a common obstetric complication, threatens maternal life if it develops quickly and fiercely. Maternal mortality due to postpartum hemorrhage continues to be one of the most important causes of maternal death nationwide and worldwide. It is rapid development from onset to the death of postpartum hemorrhage patients, early diagnosis and effective treatment are required to save maternals' life. In other words, early identification and prognosis of postpartum hemorrhage are closely related. However, there is no recognition for early identification of postpartum hemorrhage and avoiding trap in clinical practice currently. We focused on domestic and international data, inferring that early identification of postpartum hemorrhage requires analysis by synthesis of risk factors, quantification of blood loss volume and effective clinical indicators, which can avoid to believe error indicators blindly and miss rescue opportunity.

表1 各类产后出血指南对产后出血的诊断标准及其发布的产后出血发病率
Table 1 Summary of definitions, incidence among 6 kinds of related guidelines of postpartum hemorrhage
表2 产后出血预测评分表
Table 2 Postpartum hemorrhage prediction scores
表3 各指南界定的产后出血高危因素
Table 3 Risk factors associated with postpartum hemorrhage in 6 kinds of guidelines
表4 高级创伤生命支持休克分级
Table 4 Advanced trauma life support clinical shock grading
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