1例重度子痫前期合并胎盘早剥的治疗护理  

Treatment and Nursing Care of a Patient Combined Severe Preeclampsia With Placenta Abruption

作　　者：张红玲[1] 

机构地区：[1]重庆市第三军医大学新桥医院妇产科,重庆400030

出　　处：《职业卫生与病伤》2015年第4期248-250,共3页Occupational Health and Damage

摘　　要：目的通过对1例重度子痫前期合并胎盘早剥的治疗护理进行分析,为有效防止产后出血,防止子痫的发生提供参考。方法双侧子宫动脉栓塞术(uterine arterial emboization,UAE)以及降压、解痉药物的治疗与护理。结果患者自然分娩,有效防止了产后出血,且住院期间血压得到了有效的控制,防止了子痫的发生,产后42 d复查,患者子宫恢复正常,血压、肝肾功能正常,产后45 d月经来潮。结论子宫动脉栓塞术对此例胎盘早剥患者治疗有效。Objective To provide evidence for prevention of the postpartum hemorrhage and the occurrence of preeclampsia by analyzing the treatment and nursing care of a patient combined severe preeclampsia with pla- centa abruption. Methods Bilateral uterine artery embolization （UAE）, antihypertensive treatment and anti- spasmodic drugs were all conducted to treat the patient. Results The patient completed spontaneous labor and were effectively prevented the postpartum hemorrhage. During hospitalization, blood pressure was controlled effectively and preeclampsia was prevented. After 42 days＇ treatment, the uterine, blood pressure, hepatic and renal function all returned to normal and the patient menstruated 45 days after delivery. Conclusion It is effective of UAE in treating patients with placental abruption.

关 键 词：妊娠重度子痫前期 胎盘早剥 子宫动脉栓塞术 护理 

分 类 号：R714.245[医药卫生—妇产科学]