中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
12期
66-67
,共2页
肾上腺素%防治%产后出血
腎上腺素%防治%產後齣血
신상선소%방치%산후출혈
Adrenaline%Prevention%Postpartum hemorrhage
目的：对肾上腺素盐水纱布压迫治疗产后出血的临床应用进行分析总结。方法：对16例产妇在胎儿娩出后，发现胎盘剥离面渗血，助手立即挤压子宫，术者迅速将肾上腺素(1mg)盐水纱布压迫于渗血处，5分钟后，边压迫边缝合子宫切口，关闭子宫切口前取出纱布，观察出血、血压情况。若是子宫下段、宫颈内膜渗血，则将肾上腺素(1mg)盐水纱布压迫于子宫下段，并将少许纱布头引出宫颈口(便于术后经阴道取出)，边压迫边缝合子宫切口，观察出血、血压情况。结果：用手法压迫+子宫肾上腺素盐水纱布压迫治疗产后出血共16例，治疗效果显著，治愈率100%。无一例切除子宫，无再出血现象。结论：手法压迫和肾上腺素盐水纱布压迫治疗产后出血能明显降低产后出血量，操作方法简单、迅速、有效、安全，临床应用效果好，值得推广。
目的：對腎上腺素鹽水紗佈壓迫治療產後齣血的臨床應用進行分析總結。方法：對16例產婦在胎兒娩齣後，髮現胎盤剝離麵滲血，助手立即擠壓子宮，術者迅速將腎上腺素(1mg)鹽水紗佈壓迫于滲血處，5分鐘後，邊壓迫邊縫閤子宮切口，關閉子宮切口前取齣紗佈，觀察齣血、血壓情況。若是子宮下段、宮頸內膜滲血，則將腎上腺素(1mg)鹽水紗佈壓迫于子宮下段，併將少許紗佈頭引齣宮頸口(便于術後經陰道取齣)，邊壓迫邊縫閤子宮切口，觀察齣血、血壓情況。結果：用手法壓迫+子宮腎上腺素鹽水紗佈壓迫治療產後齣血共16例，治療效果顯著，治愈率100%。無一例切除子宮，無再齣血現象。結論：手法壓迫和腎上腺素鹽水紗佈壓迫治療產後齣血能明顯降低產後齣血量，操作方法簡單、迅速、有效、安全，臨床應用效果好，值得推廣。
목적：대신상선소염수사포압박치료산후출혈적림상응용진행분석총결。방법：대16례산부재태인면출후，발현태반박리면삼혈，조수립즉제압자궁，술자신속장신상선소(1mg)염수사포압박우삼혈처，5분종후，변압박변봉합자궁절구，관폐자궁절구전취출사포，관찰출혈、혈압정황。약시자궁하단、궁경내막삼혈，칙장신상선소(1mg)염수사포압박우자궁하단，병장소허사포두인출궁경구(편우술후경음도취출)，변압박변봉합자궁절구，관찰출혈、혈압정황。결과：용수법압박+자궁신상선소염수사포압박치료산후출혈공16례，치료효과현저，치유솔100%。무일례절제자궁，무재출혈현상。결론：수법압박화신상선소염수사포압박치료산후출혈능명현강저산후출혈량，조작방법간단、신속、유효、안전，림상응용효과호，치득추엄。
Objective:To analyze and summarize the clinical application of adrenaline saline gauze compression in the prevention of postpartum hemorrhage.Methods:After the fetus childbirth,the placental separation surface of 16 cases of maternal were found bleeding.The assistant immediately squeezed the uterus,then the surgeon quickly oppressed epinephrine(1mg) saline gauze in place oozing.Five minutes later,the surgeon oppressed gauze,at the same time stitched uterine incision,and remove the gauze before closing the uterine incision.The bleeding situation was observed,while the blood pressure was observed whether was stable. If the lower uterine segment and endocervical were found bleeding,the epinephrine(1mg) saline gauze was oppressed in the lower uterine segment,and a little gauze head was leaded to the cervix(be easy to remove after vaginal),the surgeon oppressed gauze,at the same time stitched uterine incision.The bleeding and blood pressure situation were observed.Results:16 cases of postpartum hemorrhage were treated with manual compression and adrenaline saline gauze compression,the treatment effect was significant. The cure rate was 100%.No case had hysterectomy and bleeding again.Conclusion:The manual compression and adrenaline saline gauze compression in the treatment of postpartum hemorrhage can significantly reduce the amount of postpartum hemorrhage.The operation is simple,fast,effective and safe.Its clinical effect is good.It is worth to be widely applied.
