首页> 中文期刊> 《中国社区医师》 >产科出血性休克主要原因及临床处理措施分析

产科出血性休克主要原因及临床处理措施分析

         

摘要

Objective:To investigate the main factors and clinical treatment of obstetric hemorrhage shock.Methods:100 cases of obstetric hemorrhage shock patients were selected from August 2012 to August 2013.We retrospectively analyzed the medical records of them,and we summarized and analysed its causes and clinical treatment.Results:In 100 cases of obstetric hemorrhagic shock patients,the main factors of prenatal bleeding were placenta previa,placental abruption.The main factors of postpartum hemorrhage were the weakness of uterine contraction,placental factors and reproductive tract laceration and so on.100 cases were all successful rescue,in the postpartum hemorrhage patients,2 cases underwent abdominal hysterectomy.Conclusion:In order to do a good job in the prevention of obstetric hemorrhagic shock,and reduce maternal mortality,we should strengthen perinatal health efforts,popularize the standardized diagnosis and treatment of obstetric hemorrhagic shock,improve the treatment level of perinatal health care personnel and obstetric medical staff.The treatment of obstetric hemorrhagic shock requires teamwork,obstetrical medical staff should have excellent professional and technical treatment of obstetric hemorrhagic shock,to form a standardized processes and referral process,to achieve the timely rescue,referral and timely,so that it can further reduce the maternal mortality rate and severe complications caused by obstetric hemorrhage.%目的:探讨产科出血性休克主要原因和临床处理措施.方法:2012年8月-2013年8月收治产科出血性休克患者 100 例,对其病历资料进行回顾性分析,总结分析其原因和临床处理措施.结果:100 例产科出血性休克患者中,产前出血的主要原因为前置胎盘、胎盘早剥.产后出血的主要原因有子宫收缩乏力、胎盘因素以及生殖道裂伤等.100 例患者全部抢救成功,产后出血患者中 2 例进行了经腹子宫全切术.结论:要做好产科出血性休克的防治,降低孕产妇的死亡率,应加大围生期保健力度,普及产科出血性休克的规范化诊治措施,提高围生期保健人员及产科医务人员的救治水平.产科出血性休克的治疗需要团队合作,产科医务人员要有过硬的处理产科出血性休克的专业技术,要形成规范化的处理流程和转诊流程,做到抢救及时、转诊及时,才能进一步降低产科出血导致的孕产妇死亡率和减少严重的并发症.

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