腹主动脉球囊阻断法在凶险性前置胎盘合并胎盘植入剖宫产手术中的应用护理  

Perioperative nursing care of patients with pernicious placenta previa and placenta accreta treated with temporary ballon occlusion of the abdominal aorta

作　　者：付文君[1] 张连琴[1] 刘璐[1] 杨凯[2] 吕倩[1] 彭静[1] 

机构地区：[1]郑州大学第一附属医院产科,450000 [2]郑州大学第一附属医院产房,450000

出　　处：《中国实用护理杂志》2018年第1期30-33,共4页Chinese Journal of Practical Nursing

摘　　要：目的探讨腹主动脉球囊阻断法在凶险性前置胎盘合并胎盘植入剖宫产手术中的应用护理效果。方法回顾性总结126例凶险性前置胎盘合并胎盘植入剖宫产手术使用腹主动脉球囊阻断法预防术中出血的护理要点及经验，介绍腹主动脉球囊阻断法的方法、安全性及优越性，腹主动脉球囊阻断法治疗后的护理，术后出血的观察与预防，疼痛的护理。结果126例患者均术中止血成功，无一例子宫切除。结论通过腹主动脉球囊阻断法在凶险性前置胎盘合并胎盘植入剖宫产手术中的应用，并通过有效护理，减少了产后出血及输血量，减少了子宫切除的风险。Objective To study the nursing effect of temporary ballon occlusion of the abdominal aorta in the treatment of pernicious placenta previa and placenta accrete. Methods Nursing points and experience of 126 cases of pernicious placenta previa and placenta accreta using temporary ballon occlusion of the abdominal aorta to prevent intraoperative bleeding in caesarean section were retrospectively summarized. This paper introduced the method, safety and superiority of the way of temporary ballon occlusion of the abdominal aorta, and the method of nursing care of patients with temporary ballon occlusion of the abdominal aorta, and the methods of the observation and prevention of postoperative bleeding and the nursing of pain. Results Totally 126 patients successfully achieved hemostasis, no hysterectomy occurred. Conclusions Through effective nursing of temporary ballon occlusion of the abdominal aorta in the treatment of pernicious placenta previa and placenta accrete, the postpartum hemorrhage, blood transfusion and the risk of hysterectomy can be reduced.

关 键 词：剖宫产术 护理 凶险性前置胎盘 胎盘植入 腹主动脉 球囊 

分 类 号：R473.71[医药卫生—护理学]