Roberts W E
Department of Obstetrics and Gynecology, University of Mississippi Medical Center, Jackson, USA.
Obstet Gynecol Clin North Am. 1995 Jun;22(2):283-302.
Early PPH remains a significant problem in obstetrics with serious maternal morbidity and mortality. Many patients at risk for PPH can be antenatally identified. Such identification allows these patients delivery at medical facilities where personnel, blood banking, laboratory, and radiographic expertise exist to expeditiously manage PPH. Even so, some patients without antecedent risk factors suffer PPH. This discussion provides a practical approach to establish an accurate diagnosis of PPH and an expeditious application of medical, surgical, and radiographic management. It is the responsibility of every obstetric health care provider to maintain proficiency in the diagnosis and management of PPH to reduce its incidence and associated morbidity and mortality to an unpreventable minimum.
早期产后出血仍然是产科领域的一个重大问题，会导致严重的孕产妇发病和死亡。许多有产后出血风险的患者可在产前得到识别。这种识别使得这些患者能够在具备人员、血库、实验室及放射学专业知识以便快速处理产后出血的医疗机构分娩。即便如此，一些没有先前危险因素的患者仍会发生产后出血。本讨论提供了一种实用方法，用于准确诊断产后出血并迅速应用药物、手术及放射学处理措施。每位产科医疗保健提供者都有责任保持对产后出血诊断和处理的熟练程度，以将其发生率及相关的发病和死亡率降至不可避免的最低水平。
