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胎盘早剥及并发症的临床观察与护理 被引量:4

Clinical Observation and Nursing of Placental Abruption and Complications
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摘要 目的讨论胎盘早剥及并发症的临床疗效与护理措施。方法随机选取我院妇科于2011年4月至2011年10月入院治疗的胎盘早剥患者35例,回顾性分析其临床表现、并发症、临床治疗效果和护理方法。结果 35例胎盘早剥患者中,行子宫切除术者3例(8.6%),行剖宫产术者22例(62.8%),其余10例(28.6%)自然分娩。术后并发症有子宫胎盘卒中1例,产后出血5例,凝血功能障碍4例,胎儿窘迫10例,新生儿窒息7例,围产儿死亡1例,孕产妇无死亡。结论胎盘早剥发病凶险,且并发症较多,正确诊断和治疗胎盘早剥,同时采取预见性并发症严密护理措施,可以降低母婴死亡率,减少并发症的发生,提高孕产妇的生存质量。 Objective To discuss the the clinical curative effect and nursing measures of placental abruption and complications. Methods 35 patients with placental abruption in our hospital from April 2011 to October 2011 were randomly selected to analyze retrospectively the clinical manifestations, complications, clinical therapeutic effect and nursing methods. Results 35 cases of placenta stripping patients included hysterectomy in 3 cases (8.6%), cesarean section in 22 cases (62.8%), the remaining 10 patients (28.6%) of natural childbirth. Postoperative complications included uteroplacental apoplexy one case, 5 cases of postpartum hemorrhage, blood coagulation dysfunction of 4 cases, fetal distress of 10 patients, 7 cases of neonatal asphyxia, perinatal death of one cases. No maternal death occured. Conclusion Placental abruption has dangerous incidence with more complications. Correct diagnosis and treatment of placental abruption, together with taking close nursing measures for predictable complications can decrease the maternal and infant mortality, reduce the incidence of complications, and improve the maternal quality of life.
作者 周慧琴
出处 《临床医学工程》 2012年第8期1369-1370,共2页 Clinical Medicine & Engineering
关键词 胎盘早剥 并发症 临床观察 护理 Placental abruption Complications Clinical observation Nursing
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