子宫动脉栓塞介入治疗难治性产后出血的临床观察及护理  

The uterine artery embolization in treatment of intractable postpartum hemorrhage and related nursing management

作　　者：刘燕 晁翠薇 许丽 刘爱英 LIU Yan;ZHAO Cuiwei;XU Li;LIU Aiying(Department of Obstetrics,The Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu,221002)

机构地区：[1]徐州医科大学附属医院产科,江苏徐州221002

出　　处：《中西医结合护理（中英文）》2018年第6期126-129,共4页Journal of Clinical Nursing in Practice

摘　　要：目的总结子宫动脉栓塞介入治疗难治性产后出血围手术期护理要点。方法 14例难治性产后出血患者经皮股动脉穿刺行选择性插管双侧髂内动脉、子宫动脉进行栓塞治疗。护理人员完善术前准备和心理疏导,术中密切配合,术后加强患者生命体征监测,观察子宫收缩、阴道流血情况,积极预防并发症,开展出院前指导。结果栓塞术后12例患者出血立即停止,2例伴有少量出血,经对症处理后5~7 d内出血逐渐停止。6例出现下腹胀痛、2例为臀部痛伴右下肢麻木,3例出现低热。随访6个月无晚期产后出血和并发症发生。结论子宫动脉栓塞介入治疗难治性产后出血效果良好,加强围手术期病情监测和对应护理配合,积极预防术后并发症。Objective To summarize the perioperative nursing management of uterine artery embolization for intractable postpartum hemorrhage. Methods Totally 14 cases of intractable postpartum hemorrhage were treated by uterine artery embolization. Nurses carried out sufficient preparation and psychological counseling before operation,cooperated with surgeons during operation,and monitored the vital signs,uterine contraction,colporrhagia of patients after operation.Preventive measures on complications and health education were also carried out. Results The postpartum hemorrhage of 12 patients was stopped immediately after uterine artery embolization,and hemorrhage of another 2 patients was stopped after 5 to 7 days. The complications mainly included abdominal pain in 6 cases,lower limb numbness in 2 cases,lowgrade fever in 3 cases.There was no long-term postpartum hemorrhage and complication reported during 6-month follow-up. Conclusion The uterine artery embolization shows an effective hemostatic effect for intractable postpartum hemorrhage. It is also required to carry out the monitoring on illness condition and preventive measures on postoperative complications.

关 键 词：产后出血 子宫动脉 介入治疗 子宫动脉内栓塞 栓塞综合征 

分 类 号：R473.71[医药卫生—护理学]