复旦大学上海医学院妇产科学系教案 教研室 妇产科学 姓名 隋 龙 职称 副主任医师  授课题目 POSTPARTUM HEMORRHAGE 节次 1  授课对象 复旦大学医学院7年制本科2000级 授课日期 2000-10  Purpose of Class Teaching Through class teaching, the student will demonstrate a knowledge of the following: A. Risks associated with postpartum hemorrhage B. Immediate management of the patient with postpartum hemorrhage, including inspection for laceration and use of contractile agents The Demand for Teaching Master the causes,clinical manifestations and diagnosis of postpartum hemorrhage To be familiar with the variable prophylactic measures for postpartum hemorrhage Master the different management approachs for postpartum hemorrhage Teaching Regime （一）The Outline of Lecture and Distributed Time To explain the definition and the four main causes of postpartum hemorrhage To explain and emphasize the various clinical manifestations of postpartum hemorrhage with different causes To explain and emphasize the clinical significance of health care in pregnancy and management during pregnancy and delivery period for the prevention of postpartum hemorrhage To stress the significance of precisely estimation for the volume of postpartum hemorrhage To explain the treatment measures, principles in emergency treatment in detail for postpartum hemorrhage caused by various etiological factors and rescue approaches for hemorrhagic shock  （二）Focal and Hard Point Focal point: the four main causes of postpartum hemorrhage the management principle for postpartum hemorrhage Hard point: the prevention of postpartum hemorrhage the estimation of volume of postpartum bleeding the treatment measures for postpartum hemorrhage caused by coagulopathy and placental accreta （三）Key Words( English and Chinese ) postpartum hemorrhage 产后出血 atonic myometrial contraction 子宫收缩乏力 placental retention 胎盘滞留 trauma of parturient canal 产道损伤 laceration of parturient canal 产道撕裂 coagulopathy 凝血功能障碍 （四）Teaching Aid Photograph Tables Slides CAI （五）Questions for Review and Thinking What are the clinical manifestations of four main causes resulted in postpartum hemorrhage? What are the theraputic methods for postpartum hemorrhage from atonic myometrial contraction? （六）The Requirement for Demonstration Teaching Through clinical demonstration, the prevention and treatment for postpartum hemorrhage with various etiological factors should be explained in detail, especially for thar from coagulopathy and retained placenta. The methods for measuring volume of postpartum bleeding should be introduced comprehensively.