摘要
目的总结凶险型前置胎盘剖宫产手术中开展介入治疗的效果和护理风险管理措施。方法 20例凶险型前置胎盘患者剖宫产术前先行双侧髂内动脉球囊置入阻断,必要时给予子宫动脉栓塞手术,再给予剖宫产。同时围手术期间开展护理风险管理。结果 20例患者双侧髂内动脉球囊置入阻断成功,7例患者球囊摘除后行子宫动脉栓塞术,患者术后恢复良好。1例早产儿出现轻度新生儿窒息,其余新生儿Apgar评分正常。结论凶险型前置胎盘剖宫产术前髂内动脉球囊置入阻断和选择性行子宫动脉栓塞手术的止血效果好,同时加强护理风险管理对降低并发症、确保母婴安全具有积极意义。
Objective To summarize the application of interventional therapy during cesarean section in treatment of pernicious placenta previa and related nursing risk management.Methods This study included 20 pregnant women with pernicious placenta previa as the research subjects.Patients were revived artery balloon occlusion for control of blood loss during cesarean section.The nursing risk management was carried out during perioperative period.Results All patients received artery balloon occlusion,and 9 of them received uterine arterial embolization therapy.All patients recovered without severe complications after cesarean section.All babies with normal APGAR scoring,except 1 case of neonatal asphyxia as the premature delivery.Conclusion Interventional therapy during cesarean section shows a sound hemostatic effect for patients with pernicious placenta previa.The nursing risk management is also required to ensure the maternal and infant safety.
出处
《中西医结合护理（中英文）》
2017年第10期145-148,共4页
Journal of Clinical Nursing in Practice
关键词
前置胎盘
胎盘植入
术中止血
剖宫产
动脉球囊阻断术
介入治疗
子宫动脉栓塞术
护理风险
placenta previa
placenta implantation
hemostasis
cesarean section
artery balloon occlusion
interventional therapy
uterine artery embolization
nursing risk
