法医学杂志

法医学杂志 ›› 2009, Vol. 0 ›› Issue (1): 9-11.

• 论文 • 上一篇    下一篇

产后出血死亡原因分析

何小艳;黄飞骏;龚道银;张岑岑;王东;   

  1. 四川大学华西基础医学与法医学院;成都市公安局高新区分局;
  • 发布日期:2009-02-25 出版日期:2009-02-28

Analysis of Death Caused by Postpartum Hemorrhage

HE XIAO-YAN1, HUANG FEI-JUN1, GONG DAO-YIN1, ZHANG CEN-CEN1, WANG DONG2 (1. WEST CHINA SCHOOL OF PRECLINICAL AND FORENSIC MEDICINE, SICHUAN UNIVERSITY, CHENGDU 610041, CHINA; 2. HI-TECH DISTRICT BRANCH BUREAU, CHENGDU PUBLIC SECURITY BUREAU, CHENGDU 61004   

  • Online:2009-02-25 Published:2009-02-28

摘要： 目的分析产后出血死亡案例法医病理学鉴定的特点,探究产后出血致死的常见原因,为法医工作者处理产科医疗纠纷案件提供帮助。方法收集1995年以来四川华西法医学鉴定中心产后出血死亡法医病理学鉴定案例共32例,分析总结产后大出血致死案例的特点。结果产后出血死亡原因中单因素占81.25%,多因素占12.50%,另有6.25%原因不明。其中单因素致死原因依次为子宫收缩乏力、胎盘剥离不全及胎盘残留植入、软产道挫裂伤和凝血功能障碍,多因素为两种或两种以上上述因素共同作用所致。结论产后出血死亡的法医病理学鉴定需要结合临床病史资料,根据尸体解剖结果综合分析得出结论。

关键词: 法医病理学, 产后出血, 休克, 出血性

Abstract: 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 ret- rospectively 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.

Key words: forensic pathology, postpartum hemorrhage, shock, hemorrhagic