凶险型前置胎盘剖宫产手术的护理配合  

Nursing cooperation in caesarean operation on critical placenta previa

作　　者：邱雪[1] 李婷婷[1] 李丽[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院,湖北武汉430022

出　　处：《现代临床护理》2016年第9期26-29,共4页Modern Clinical Nursing

摘　　要：目的探讨凶险型前置胎盘剖宫产手术的护理配合要点。方法对45例凶险型前置胎盘患者实施剖宫产术并总结护理配合要点。结果45例患者均以剖宫产手术终止妊娠，术中出血量400-5000mL．中位数1250.50mL；其中胎盘植入23例中行子宫全切除5例，新生儿均存活，住院时间5-15d，中位数6．50d，均康复出院。结论手术所致的大出血及术中止血是手术配合的难点，充分的术前准备，做好术中护理配合对减少术中出血、争取抢救时间、维护母婴安全有重要意义。Objective To explore the key points of nursing cooperation in critical pernicious placenta previa caesarean operation. Method The clinical data of 45 patients with critical placenta previa treated with caesarean operation were reviewed to summarize key points of nursing cooperation. Results All the patients came out with termination of pregnancy by cesarean section, the blood loss varying from 400 to 5000 mL, averaged 1250.50 mL. Toally 23 of them were complicated with placenta implantation. Five of them underwent subtotal resection, with the length of stay 5 to 15 days, averaged 6.50 days. All were recovered and discharged, with 100 percent of the neonatal survival. Conclusion The difficulty in cesarean section for critical pernicious placenta previa exists at hemostasis. Full preparation before resection and delicate cooperation at resection are critical for reducing blood loss, saving time and ensuring maternal and child safety.

关 键 词：凶险型前置胎盘 胎盘植入 剖宫产 护理配合 

分 类 号：R472.3[医药卫生—护理学]