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中华产科急救电子杂志 ›› 2022, Vol. 11 ›› Issue (03) : 144 -147. doi: 10.3877/cma.j.issn.2095-3259.2022.03.005

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产后出血的早期识别及诊断
董欣1, 李雪兰1,()   
  1. 1. 710061 西安交通大学第一附属医院妇产科
  • 收稿日期:2022-02-28 出版日期:2022-08-18
  • 通信作者: 李雪兰
  • 基金资助:
    陕西省国际科技合作计划项目(2022KW-22)

Early recognition and diagnosis of postpartum hemorrhage

Xin Dong1, Xuelan Li1()   

  • Received:2022-02-28 Published:2022-08-18
  • Corresponding author: Xuelan Li
引用本文:

董欣, 李雪兰. 产后出血的早期识别及诊断[J]. 中华产科急救电子杂志, 2022, 11(03): 144-147.

Xin Dong, Xuelan Li. Early recognition and diagnosis of postpartum hemorrhage[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2022, 11(03): 144-147.

产后出血是产科常见的并发症,也是导致全世界孕产妇死亡的主要原因。如何发现并及时阻断产后出血的进程,对于防止孕产妇死亡有重要作用。准确评估失血量、早期识别危险因素和及时诊断产后出血是产后出血诊治中的基本要求和必须掌握的内容。本文通过对失血量的评估、危险因素的识别以及对临床症状、体征、实验室检查的监测进行阐述,为临床工作提供参考。

Postpartum hemorrhage is a common obstetric complication and the leading cause of maternal mortality worldwide. How to detect and block the process of postpartum hemorrhage in time plays an important role in preventing maternal death. Accurate assessment of blood loss, early identification of risk factors and timely diagnosis of postpartum hemorrhage are the basic requirements and must be mastered in the diagnosis and treatment of postpartum hemorrhage. This article reviews and summarizes the evaluation of blood loss, the identification of risk factors, and the monitoring of clinical symptoms, signs, and laboratory tests, to provide a reference for clinical work.

表1 产后出血的危险因素评估[4]
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