产科出血性休克的临床原因及有效治疗措施  

Clinical causes and effective treatment of obstetric hemorrhagic shock

作　　者：李立丽 Li Lili(Department of Obstetrics and Gynecology,Jiawang District People’s Hospital,Xuzhou 221011,China)

机构地区：[1]连云港市妇幼保健院妇产科,江苏连云港222000

出　　处：《实用妇科内分泌电子杂志》2021年第24期49-52,共4页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的 探究产科出血性休克的临床原因及有效治疗措施。方法 选取100例产科失血性休克产妇作为观察组,产妇均实施出血性休克诊断及对症治疗;另选取同期100例未发生失血性休克产妇作为对照组。观察治疗效果比并分析失血性休克的主要危险因素。结果 观察组胎盘早剥、胎盘残留/粘连、胎盘前置、产道裂伤、凝血障碍总发生率显著高于对照组,差异有统计学意义(P<0.05)。观察组失血量1500~2000 ml及>2000 ml比例明显高于对照组,差异有统计学意义(P<0.05)。观察组失血性休克产妇中,94例经积极抢救治疗后脱离危险,抢救成功率为94%。结论 产科出血性休克的危险因素较多,应及时采取有效的治疗措施,注重并发症防治,可提升抢救成功率,确保母婴安全。Objective To explore the clinical causes and effective treatment of obstetric hemorrhagic shock.Methods 100 obstetric hemorrhagic shock parturients were selected as the observation group.All parturients were diagnosed with hemorrhagic shock and received symptomatic treatment.Another 100 cases without hemorrhagic shock were selected as the control group.To observe the therapeutic effect ratio and analyze the main risk factors of hemorrhagic shock.Results The incidences of placental abruption,placental residue/adhesion,placental previa,birth canal laceration and coagulation disorder in the observation group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).The proportion of blood loss of 1500~2000 ml and>2000 ml in the observation group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).In the observation group,94 cases of hemorrhagic shock parturient were out of danger after active rescue treatment,and the success rate of rescue was 94%.Conclusion There are many risk factors of obstetric hemorrhagic shock.Effective treatment measures should be taken in time and attention should be paid to the prevention and treatment of complications,which can improve the success rate of rescue and ensure the safety of maternal and infant.

关 键 词：失血性休克 危险因素 产科 急救措施 

分 类 号：R714.463[医药卫生—妇产科学]