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目的:探讨产科出血性休克的临床原因及有效治疗措施。方法:回顾性分析在该院就诊,且接受治疗的24例产科出血性休克患者资料,详细询问并记录患者的主诉,既往病史和各项检查结果,分析诱发患者出现产科出血性休克的临床原因,并结合患者的实际情况,采取有针对性的治疗措施,对治疗效果进行观察与评价。结果:对24例产科出血性休克患者的临床原因进行分析,其中产后子宫收缩乏力9(37.50%)例,生殖道裂伤6(25.00%)例,胎盘因素6(25.00%)例,凝血功能障碍3(12.50%)例。经治疗后,23例患者抢救成功,抢救成功率为95.83%,其中1例患者,应家属要求,转至上级医院进行治疗。结论:临床医生应详尽掌握导致产科出血性休克的临床原因,并做好防治工作。针对产科出血性休克患者在有效把握产科出血性休克临床原因的基础上,采取全面治疗措施,可取的较为理想的治疗效果。尤其针对缺少输血条件的乡镇医院妇产科医生,值得推广应用。
Objective: To investigate the clinical causes and effective treatment of obstetric hemorrhagic shock. Methods: The data of 24 patients with obstetric hemorrhagic shock treated in this hospital and retrospectively analyzed were retrospectively analyzed. The patients’ main complaints, past medical history and test results were analyzed in detail. The clinical causes of obstetric hemorrhagic shock were analyzed , And combined with the actual situation of patients, take targeted treatment measures, the treatment effect was observed and evaluated. Results: The clinical causes of 24 cases of obstetric hemorrhagic shock were analyzed. Among them, 9 (37.50%) cases of postpartum uterine atony, 6 (25.00%) cases of genital tract laceration, 6 cases of placental factor 6 (25.00%), coagulation function Obstacle 3 (12.50%) cases. After treatment, the successful rescue of 23 patients, the rescue success rate was 95.83%, of which 1 patient, should be dependent on request, go to the higher hospital for treatment. Conclusion: Clinicians should have a detailed grasp of the clinical causes leading to obstetric hemorrhagic shock and do a good job in prevention and treatment. For patients with obstetric hemorrhagic shock on the basis of effective grasp of the clinical causes of obstetric hemorrhagic shock, to take a comprehensive treatment, desirable desirable therapeutic effect. Especially for the township hospital obstetrician lack of blood transfusion conditions, it is worth to promote the application.