产后出血患者的抢救及护理  

The rescue and care of postpartum hemorrhage patients

作　　者：宗有莲[1] 

机构地区：[1]延安大学附属医院,陕西延安716000

出　　处：《中国美容医学》2012年第12X期771-772,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的:阐述产后出血的危险因素,制定抢救及护理措施,降低孕产妇死亡率。方法:选择2009年1月～2012年12月我院妇产科分娩的产后出血120例产妇,对其病历资料、抢救护理过程与预后进行回顾调查。结果:经过介入抢救与护理后,所有产妇都一次性止血成功,无死亡产妇。出血危险因素为子宫收缩乏力、前置胎盘、胎盘粘连、巨大儿、剖宫产。随着产后时间的推移,收缩压、舒张压及心率都趋于平缓,不同时间点对比差异明显(P<0.05)。结论:产后出血是产妇死亡的一个重要原因,介入治疗具有创伤小、疗效快等优点,积极的护理有利于保持产妇的血压与心率平稳,从而降低死亡率。Objective To describe the risk factors of postpartum hemorrhage,develop the rescue and care measures to reduce the maternal mortality rate.Methods Selected 120 delivery postpartum hemorrhage cases from January 2009 to December 2012 in my hospital,the medical records,rescue and care process and prognosis were reviewed.Results After the intervention rescue and care,all maternal disposable hemostasis were successed and had no death.The main risk factors were uterine atony,placenta previa,placenta accreta,great children and cesarean section.As postpartum time were goes on,the systolic blood pressure,diastolic blood pressure and heart rate were tended to be flat and compared showed significant differences(P <0.05).Conclusion Postpartum hemorrhage is an important cause of maternal death,interventional treatment has the advantages of less Trauma ad faster effect,active care is conducive to maintaining maternal blood pressure and heart rate steady,thereby reduce mortality.

关 键 词：产后出血 介入抢救 护理 危险因素 

分 类 号：R473.71[医药卫生—护理学]