Advanced knowledge of postpartum hemorrhage

1. Western medicine treatment (1) Drug therapy: the use of antibiotics and contractions, often elected Beijing broad-spectrum antibiotics such as penicillin, cephalosporins plus metronidazole intravenous, intramuscular injection of oxytocin on 10 units, 2 - 3 times / day. Bleeding for a long time may be granted 706 new generation of plasma or blood transfusion. (2) Surgical treatment: suspect with a placenta, fetal membranes residues should be up to scratch in, sending scraps of pathological examination. Consider uterine incision dehiscence infection, should laparotomy and, if necessary, removal uterus. 2. Chinese medicine treatment (1) Qi: postpartum hemorrhage volume, quality dilute Sedan, no blood clots, lower abdomen fall, shortness of breath fatigue, tongue short, thin white moss, pulse细弱. Treatment: Yiqi perturbation blood. Recipe: Dangshen, Astragalus, TGP, Atractylodes Health Puhuang (including) 15 g, cornus officinalis, Cimicifuga charcoal, Ejiao (natural), Mr Brown 10 grams of carbon, March 7 powder (Wash) 2 g . Proprietary Chinese medicines: Buzhongyiqi pill. (2) blood stasis: the amount of postpartum hemorrhage or not the hill, a dark purple color of blood clots, according to resist abdominal pain, blood clots after the pain from the cut, a dark purple tongue plaque deposition deposition, Shibuya veins. Treatment: Huoxue Huayu, oxytocin bleeding. Recipe: Angelica, the 10 grams Chuanxiong, peach kernel, the Poncirus trifoliata 12 g, 30 g Motherwort, white of 15 grams, Baojiang, Zhigancao all six grams. Proprietary Chinese medicines: Motherwort Medicine. (3) thermal Yin blood: the amount of postpartum hemorrhage, bright red or purplish red color, quality sticky, smelly or dirty, dry mouth are hot, red tongue, Moss Huang Shao Chun, clock breakdown. Treatment: Yangyin Qingre bleeding. Recipe: privet larvae, dry grass-lian, habitat, and Sichuan stopped and the Guanzhong charcoal, the TGP 15 grams, 10 grams of carbon baicalin and zhigancao six grams, March 7 powder (Wash) 2 grams. Proprietary Chinese medicines: Gong Xue Ning; off blood flow tablets. (4) Blood from Qi: postpartum hemorrhage volume, quality dilute Sedan, looking pale and sweat Shiling, tongue desalination, Moss white, micro-stricken clock. Treatment: Yiqi Yang back to save reverse from solid. Recipe: red ginseng (another fried) 30 g, 10 g Aconite, ophiopogon, 10 grams of Schisandra. Proprietary Chinese medicines: Shengmaiyin.