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目的探讨宫外孕患者发生腹痛、失血性休克的诊疗和护理流程,指导临床宫外孕患者的急救,为临床成功抢救患者提供科学的依据。方法随机选择天津市中心妇产科医院2 0 1 1年6月-2 0 1 5年2月收治的宫外孕患者9 5例,其中住院观察5例,药物保守治疗3 4例,手术治疗5 6例,其中出现失血性休克的4例,对以上患者进行回顾性分析和总结。结果通过对9 5例患者制定不同的治疗方案和相应的护理措施,患者平安度过了围手术期,保守治疗和手术治疗患者治愈率达到1 0 0%。结论通过对护理人员进行急救知识的培训和急救操作演练,提高了护理人员的急救能力;制定严密的宫外孕诊疗和护理流程,使护理人员在接诊患者后能在最短的时间内为患者诊疗,为抢救患者赢得宝贵时间。
Objective To investigate the diagnosis, treatment and nursing of abdominal pain and hemorrhagic shock in ectopic pregnancy patients and to guide the emergency treatment of patients with clinical ectopic pregnancy, so as to provide a scientific basis for the successful rescue of patients. Methods Ninety-five cases of ectopic pregnancy were randomly selected from Tianjin Obstetrics and Gynecology Hospital from June 2011 to February 2015. Among them, 5 cases were hospitalized, 34 cases were treated conservatively, and 5 cases were treated by surgery Cases, including hemorrhagic shock occurred in 4 cases, the above patients were retrospectively analyzed and summarized. Results 95 cases of patients through the development of different treatment options and the corresponding care measures, the patient passed the perioperative period, conservative treatment and surgical treatment of patients cure rate reached 100%. Conclusion Nursing staff training of first aid knowledge and first aid operation exercise improved nurses’ first aid ability; developed a strict ectopic pregnancy diagnosis and treatment and nursing process so that nursing staff can consult patients in the shortest possible time for the treatment of patients, To save the patient to win valuable time.