摘要
目的总结产后大出血的预防、监测和护理措施。方法对本院2009年1月～2012年1月67例产后大出血产妇加强了临床观察、监测和护理。结果 67例患者宫缩乏力46例,胎盘因素(胎盘残留、胎盘粘连、胎盘滞留)12例,软产道损伤4例,凝血功能障碍2例,多胎1例,妊娠高血压2例。经过严密观察,及时抢救治疗和精心护理,保全子宫66例,1例行子宫次全切除术,所有患者均痊愈。结论产后大出血是产妇分娩期严重的并发症,是导致中国孕产妇死亡的首要原因。若短时间内大量失血可迅速发生失血性休克,而危及患者生命。因此,必须做好孕期保健,及时控制产后出血,加强监测和护理,以降低其发病率和死亡率。
Objective To summarize the preventing, monitoring and nursing measures of postpartum hemorrhage. Methods Sixty-seven cases of patients with postpartum hemorrhage in our hospital from January 2009 to January 2012 were given intensive clinical observation, monitoring and nursing. Results In 67 patients, uterine inertia occurred in 46 cases, placenta factor （placenta remnant, placenta accreta, mazischesis） in 12 cases, laceration of birth canal encountered in 4 cases, coagulation dysfunction occurred in 2 cases, polyembryony encountered in 1 case, hypertension of pregnancy occurred in 2 cases. After closely observation, timely resuscitation and careful ursing, 66 cases keeped womb intact, 1 case adopted subtotal hysterectomy. And all the patients were cured. Conclusion Postpartum hemorrhage is a serious complication in stages of labor, and it is the leading cause of maternal death in China. Bleeding profusely within a short time can occur rapidly in hemorrhagic shock, and endanger patient＇s life. Therefore, it is necessary that to do a good job of prenatal care, control postpartum hemorrhage timely, strengthen monitoring and nursing. So that reducing its incidence and mortality.
出处
《中国当代医药》
2013年第13期129-130,共2页
China Modern Medicine
关键词
产后大出血
监测
护理
措施
Postpartum hemorrhage
Monitoring
Nursing
Measure
