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目的分析探讨临床妇产科失血性休克的主要发生因素以及相应的临床处理措施。方法选取我院2015年1月至2016年1月收治的120例妇科中发生失血性休克的患者进行研究,分析所有患者引发失血性休克的影响因素,制定并采取有效的应对措施。结果妇产科失血性休克出现的原因包括:子宫收缩乏力者75例,生殖道裂伤患者17例,胎盘因素者13例,凝血功能障碍者15例,子宫收缩乏力所导致的的失血性休克占据的比例16%显著高于其它的各种因素,差异具有统计学意义(P<0.05);120例失血性休克的患者经过治疗后,117例抢救成功,剩余3例中,2例给予经腹子宫全切术治疗,1例给予经腹子宫次切术治疗,无死亡者。结论针对妇产科出现的失血性休克的情况,科内医护人员应认真分析出血的原因,并针对性的采取有效的应对措施,减少失血性休克情况的发生,保证患者在院治疗的安全性。
Objective To analyze and discuss the main causes of hemorrhagic shock in clinical obstetrics and gynecology as well as the corresponding clinical treatment measures. Methods A total of 120 gynecological cases of hemorrhagic shock in our hospital from January 2015 to January 2016 were selected to study the influencing factors of all patients with hemorrhagic shock and to develop and take effective measures. Results Obstetrics and gynecology hemorrhagic shock occurred due to: 75 cases of uterine atony, 17 cases of genital laceration, placental factors in 13 cases, coagulation disorders in 15 cases, uterine atony induced by hemorrhagic shock Accounting for 16% of the total, which was significantly higher than other factors (P <0.05). After the treatment of 120 hemorrhagic shock patients, 117 patients were successfully rescued, and the remaining 3 patients were given 2 Abdominal hysterectomy treatment, 1 case of abdominal transcervical resection, no death. Conclusion In the case of hemorrhagic shock in obstetrics and gynecology, the medical staff in the department should carefully analyze the cause of bleeding and take effective measures to reduce the occurrence of hemorrhagic shock and ensure the safety of the hospitalized treatment .