[产后出血所致死亡分析]
[Analysis of death caused by postpartum hemorrhage].
作者信息
He Xiao-yan, Huang Fei-jun, Gong Dao-yin, Zhang Cen-cen, Wang Dong
机构信息
West China School of Preclinical and Forensic Medicine, Sichuan University, Chengdu 610041, China.
出版信息
Fa Yi Xue Za Zhi. 2009 Feb;25(1):9-11.
OBJECTIVE
To analyze the pathological characteristics and the death reasons due to postpartum hemorrhage, and to help to deal with the obstetrical medical tangles.
METHODS
Thirty-two cases of death caused by postpartum hemorrhage encountered in our department since 1995 had been collected and retrospectively analyzed.
RESULTS
Death caused by postpartum hemorrhage could be divided into single factor and multi-factor, with 81.25% due to single factor, 12.50% multi-factor, and 6.25% unknown reason. The single factors included uterine atony, retained placenta, placenta increta, laceration of the lower genital tract, and coagulation defects. The multi-factor included a combination of two or more factors mentioned above.
CONCLUSION
The causes of death due to postpartum hemorrhage should be analyzed according to the clinical characteristics of the postpartum hemorrhage and the autopsy examination.
目的
分析产后出血的病理特征及死亡原因，以协助处理产科医疗纠纷。
方法
收集我科1995年以来遇到的32例产后出血死亡病例并进行回顾性分析。
结果
产后出血所致死亡可分为单因素和多因素，单因素占81.25%，多因素占12.50%，不明原因占6.25%。单因素包括子宫收缩乏力、胎盘残留、胎盘植入、软产道裂伤和凝血功能障碍。多因素包括上述两种或更多因素的组合。
结论
应根据产后出血的临床特点及尸检结果分析产后出血的死亡原因。
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