一例剖宫产术后子宫阔韧带血肿的个性化护理  

A case study of broad ligament haematoma following cesarean section

作　　者：张莹莹[1] 张爱霞[2] 黄敏[3] 单春剑[1] Zhang Yingying;Zhang Aixia;Huang Min;Shan Chunjian(Department of Obstetrics,Obstetrics and Gynecology Hospital Affiliated to Nanjing Medical University,Nanjing 210004,China;Department of Nursing,Obstetrics and Gynecology Hospital Affiliated to Nanjing Medical University,Nanjing 210004,China;Department of MICU,Obstetrics and Gynecology Hospital Affiliated to Nanjing Medical University,Nanjing 210004,China)

机构地区：[1]南京医科大学附属妇产医院产科,210004 [2]南京医科大学附属妇产医院护理部,210004 [3]南京医科大学附属妇产医院MICU,210004

出　　处：《中国实用护理杂志》2020年第31期2461-2464,共4页Chinese Journal of Practical Nursing

摘　　要：目的:总结1例剖宫产术后子宫阔韧带血肿的护理经验。方法:回顾性分析1例剖宫产术后发生子宫阔韧带血肿的临床资料,总结临床护理要点。在剖宫产术后,通过护理人员的密切观察,及时发现腹腔内出血的征兆,通过超声证实为子宫阔韧带血肿;血肿清除术后,加强观察腹腔引流及循环监测,预防腹腔内再次出血;血肿吸收过程中做好发热护理;注重产妇心理护理,帮助产妇度过急性期。结果:通过积极有效的护理,产妇于术后第8天顺利出院。结论:产科护士在临床工作中应具备评判性思维的能力,严格执行剖宫产术后监护及时发现内出血征兆,子宫阔韧带血肿通过多学科联合抢救能有效预防不良结局的发生。Objective To summarize up the care experience about a woman with broad ligament haematoma after cesarean section.Methods The clinical data of 1 case of broad ligament haematoma of uterus after cesarean section and summarized the main points of clinical nursing was reviewed.The nurse found the signs of intraperitoneal bleeding through closely observation,and it was confirmed to be a hematoma of broad ligament of uterus by B ultrasound.After removal of hematoma,the nurse strengthened the abdominal drainage and circulation monitoring to prevent re-bleeding in the abdominal cavity,nursing the fever in the process of hematoma absorption.At last,it was important to pay attention to psychological nursing,helping the maternal to live through acute period.Results The woman was discharged on the 8thpost-operative day.Conclusions The nurses of obstetric should have the ability of critical thinking in clinical work,carry out postoperative monitoring strictly after cesarean section and timely find signs of internal bleeding.Through multidisciplinary rescue,a serious adverse outcome of broad ligament haematoma can be prevented.

关 键 词：产后出血 阔韧带血肿 个案护理 

分 类 号：R473.71[医药卫生—护理学]