King P A, Duthie S J, Dong Z G, Ma H K
Department of Obstetrics and Gynaecology, University of Hong Kong, Queen Mary Hospital.
Aust N Z J Obstet Gynaecol. 1989 Nov;29(4):394-8. doi: 10.1111/j.1479-828x.1989.tb01776.x.
Eighty-three cases of secondary postpartum haemorrhage managed in this teaching unit over a 3-year period are described. Bleeding occurred most frequently between the 8th and 14th day of the puerperium; 73% of the patients had already been discharged from hospital and required readmission. Suction evacuation was performed in 72 patients and was successful in arresting haemorrhage whether retained placental tissue could be demonstrated on histology or not. There was histological confirmation of retained gestational products in only 30 (42%) of the patients treated surgically. No predictive factors for secondary postpartum haemorrhage could be identified in the obstetric profiles or antenatal course of most of these patients. Patients with retained gestational products could not be distinguished from those without on the basis of history or examination alone apart from 4 patients noted to have incomplete membranes at delivery.
本文描述了在该教学单位3年期间处理的83例继发性产后出血病例。出血最常发生在产褥期的第8天至第14天；73%的患者已出院，需要再次入院。72例患者进行了吸宫术，无论组织学上是否能证实有胎盘组织残留，均成功止血。手术治疗的患者中，只有30例（42%）经组织学证实有妊娠产物残留。在这些患者的大多数产科情况或产前过程中，无法确定继发性产后出血的预测因素。除了4例在分娩时胎膜不完整的患者外，仅根据病史或检查无法区分有妊娠产物残留的患者和无残留的患者。
