论文部分内容阅读
目的:探讨产科出血性休克的主要临床原因及相关治疗方法。方法:对该院产科100例出血性休克患者的临床资料进行回顾性分析,就其原因及相关治疗措施进行总结分析。结果:临床上导致产科出血性休克的原因主要有宫缩乏力(68.0%)、产道损伤(13.0%)、胎盘因素(9.0%)、凝血障碍(7.0%)等;出血量与休克的发生率有密切关系,出血量为750~1 150 ml的患者30例中休克11例,休克发生率为36.67%;出血量达1 150~1800 ml的患者36例中休克21例,休克发生率为58.33%,出血量达1 800~3 500ml的患者34例中休克23例,休克发生率为67.65%。经过积极的治疗后,均成功止血。结论:出血性休克原因复杂,需引起临床的高度重视,在围产期应密切关注产妇状况,并及时采取有效的治疗措施,在最大程度上减少患者术后并发症的发生率。
Objective: To investigate the main clinical causes of obstetric hemorrhagic shock and related treatment. Methods: The clinical data of 100 patients with hemorrhagic shock in the hospital were retrospectively analyzed, and the reasons and the related treatment measures were summarized. Results: The main causes of obstetric hemorrhagic shock were as follows: uterine inertia (68.0%), birth canal injury (13.0%), placenta factor (9.0%) and coagulopathy (7.0%). The incidence of hemorrhage and shock There is a close relationship between bleeding in 750 ~ 1 150 ml of 30 patients with shock in 11 cases, the shock rate was 36.67%; bleeding in 1 150 ~ 1800 ml of 36 patients were shocked in 21 cases, the shock rate was 58.33 %, Bleeding in patients with 1 800 ~ 3 500ml of 34 patients were shocked in 23 cases, the incidence of shock was 67.65%. After active treatment, hemostasis was successful. Conclusions: The causes of hemorrhagic shock are complicated and need to be paid great attention in clinic. Pay attention to the maternal condition in perinatal period and take timely and effective treatment measures to minimize the incidence of postoperative complications.