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目的:分析产科出血性休克的临床原因及治疗对策;方法:回顾性分析我院在2010年6月-2012年4月间93例产科出血性休克患者的临床资料。结果:导致产科出血性休克的临床原因主要有子宫收缩乏力、全身因素、子宫局部因素、生殖道裂伤、胎盘因素及凝血功能障碍。临床经过监测抢救休克症状得以纠正,成功实施抢救,2例行经腹子宫全切术,3例行经腹子宫次全切除术,1例抢救无效死亡。结论:临床实施控制体位、实施止血、开通路、补充血容量、给氧、保温、纠正酸中毒、应用心血管药物、利尿药、预防感染等治疗及预防出血性休克效果显著,死亡率低。值得临床推广应用。
Objective: To analyze the clinical causes and treatment strategies of obstetric hemorrhagic shock.Methods: The clinical data of 93 obstetric hemorrhagic shock patients in our hospital from June 2010 to April 2012 were retrospectively analyzed. Results: The main causes of obstetric hemorrhagic shock were uterine atony, systemic factors, uterine local factors, genital tract laceration, placental factors and coagulation disorders. Clinical monitoring rescue shock symptoms were corrected, the successful implementation of the rescue, 2 cases of abdominal hysterectomy, 3 cases of subtotal hysterectomy, 1 case of rescue died. Conclusion: The clinical implementation of the control position, the implementation of hemostasis, open access, blood volume, oxygen, heat, correct acidosis, the application of cardiovascular drugs, diuretics, prevent infection and other treatment and prevention of hemorrhagic shock with a significant effect, low mortality. Worthy of clinical application.