国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
5期
642-645
,共4页
产科%医源性心衰%病因%预防
產科%醫源性心衰%病因%預防
산과%의원성심쇠%병인%예방
Obstetrics%Iatrogenic heart failure%Etiology%Prevention
目的 探讨产科医源性心衰的原因和预防.方法 回顾性分析2007至2011年在我院发生的医源性心衰18例临床资料,同期随机选取20例分娩无发生心衰的孕产妇作为对照组,寻找产科医源性心衰的发病原因及预防措施.结果 妊娠期高血压疾病9例(50％),产后大出血8例(44.4％),妊娠合并贫血9例(50％),低蛋白血症12例(66.7％)；心衰发生的时间,产前2例,产时2例,产后14例.结论 产科医源性心衰的主要病因是产科医务人员对孕产妇的病情评估不足够,静脉补液的量及速度控制不恰当,护理观察不够细致.
目的 探討產科醫源性心衰的原因和預防.方法 迴顧性分析2007至2011年在我院髮生的醫源性心衰18例臨床資料,同期隨機選取20例分娩無髮生心衰的孕產婦作為對照組,尋找產科醫源性心衰的髮病原因及預防措施.結果 妊娠期高血壓疾病9例(50％),產後大齣血8例(44.4％),妊娠閤併貧血9例(50％),低蛋白血癥12例(66.7％)；心衰髮生的時間,產前2例,產時2例,產後14例.結論 產科醫源性心衰的主要病因是產科醫務人員對孕產婦的病情評估不足夠,靜脈補液的量及速度控製不恰噹,護理觀察不夠細緻.
목적 탐토산과의원성심쇠적원인화예방.방법 회고성분석2007지2011년재아원발생적의원성심쇠18례림상자료,동기수궤선취20례분면무발생심쇠적잉산부작위대조조,심조산과의원성심쇠적발병원인급예방조시.결과 임신기고혈압질병9례(50％),산후대출혈8례(44.4％),임신합병빈혈9례(50％),저단백혈증12례(66.7％)；심쇠발생적시간,산전2례,산시2례,산후14례.결론 산과의원성심쇠적주요병인시산과의무인원대잉산부적병정평고불족구,정맥보액적량급속도공제불흡당,호리관찰불구세치.
Objective To investigate the etiologies and prevention of iatrogenic heart failure in obstetric patients.Methods The clinical data on 18 ptients who had occurred iatrogenic heart failure during the period of 2007 to 2011 were retrospectively analyzed.20 puerperas without heart failure were used as control.The pathogenesis of iatrogenic heart failure and and the relevant measures for prevention were determined.Results 9 of the 18 (50％) patients were due to pregnancy-induced hypertension,8 (44.4％)due to postpartum hemorrhage,9 (50％) due to anemia,and 12 (66.7％) due to hypoalbuminemia.2 patients developed heart failure prenatally,2 intrapartally,and 14 postpartally.Conclusions Underestimation of disease course by obstetric staff,inappropriate control of volume and speed of intravenous infusion,and careless observation by nurses are the major causes of iatrogenic heart failure in obstetric patients.
