Su Cindy W
Department of Obstetrics & Gynecology, Contra Costa Regional Medical Center, 2500 Alhambra Avenue, Martinez, CA 94553, USA.
Prim Care. 2012 Mar;39(1):167-87. doi: 10.1016/j.pop.2011.11.009.
Postpartum hemorrhage (PPH) is a very common obstetric emergency with high morbidity and mortality rates worldwide. Understanding its etiology is fundamental to effectively managing PPH in an acute setting. Active management of the third stage of labor is also a key component in its prevention. Management strategies include conservative measures (medications, uterine tamponade, and arterial embolization) as well as surgical interventions (arterial ligations, compression sutures, and hysterectomy). Creating a standardized PPH protocol and running simulation-based drills with a multidisciplinary team may also help decrease maternal morbidity and improve perinatal outcomes, although further studies are needed.
产后出血（PPH）是一种非常常见的产科急症，在全球范围内发病率和死亡率都很高。了解其病因是在急性情况下有效管理产后出血的基础。积极处理第三产程也是预防产后出血的关键组成部分。管理策略包括保守措施（药物治疗、子宫压迫止血和动脉栓塞）以及手术干预（动脉结扎、压迫缝合和子宫切除术）。制定标准化的产后出血治疗方案并与多学科团队进行基于模拟的演练，可能也有助于降低孕产妇发病率并改善围产期结局，不过仍需进一步研究。
