中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
24期
130-131,132
,共3页
宫外孕%失血性休克%急救%护理
宮外孕%失血性休剋%急救%護理
궁외잉%실혈성휴극%급구%호리
Ectopic pregnancy%Hemorrhagic shock%Emergency treatment%Nursing
目的:研究宫外孕并失血性休克急救和护理方法。方法:资料选自2011年4月-2012年10月在本院进行宫外孕并失血性休克治疗的患者53例,对所有患者进行急救治疗和有效的护理,并行剖腹探查术治疗。观察急救和剖腹探查术后患者病因、腹腔出血、输血等的情况,以及患者护理后的情况。结果:通过对宫外孕并失血性休克的患者进行一系列的抢救和护理措施之后,进行剖腹探查术,确诊所有患者均为异位妊娠,其中输卵管破裂占65.3%,流产占22.6%,卵巢妊娠破裂占9.4%,宫角妊娠破裂占3.7%;所有患者均出现腹腔内出血情况,其中出血量在1000~1500 ml的占33.9%,1500~2000 ml的占52.8%,2000~2500 ml的占13.2%。同时进行自体血回输的患者占47.1%,输全血的患者为占30.1%,输红细胞占22.6%。结论:对宫外孕并失血性休克的患者进行及时有效性的抢救及护理,可以为患者赢得最佳的治疗时间,同时促进患者早日康复,在临床治疗中具有比较重要的意义。
目的:研究宮外孕併失血性休剋急救和護理方法。方法:資料選自2011年4月-2012年10月在本院進行宮外孕併失血性休剋治療的患者53例,對所有患者進行急救治療和有效的護理,併行剖腹探查術治療。觀察急救和剖腹探查術後患者病因、腹腔齣血、輸血等的情況,以及患者護理後的情況。結果:通過對宮外孕併失血性休剋的患者進行一繫列的搶救和護理措施之後,進行剖腹探查術,確診所有患者均為異位妊娠,其中輸卵管破裂佔65.3%,流產佔22.6%,卵巢妊娠破裂佔9.4%,宮角妊娠破裂佔3.7%;所有患者均齣現腹腔內齣血情況,其中齣血量在1000~1500 ml的佔33.9%,1500~2000 ml的佔52.8%,2000~2500 ml的佔13.2%。同時進行自體血迴輸的患者佔47.1%,輸全血的患者為佔30.1%,輸紅細胞佔22.6%。結論:對宮外孕併失血性休剋的患者進行及時有效性的搶救及護理,可以為患者贏得最佳的治療時間,同時促進患者早日康複,在臨床治療中具有比較重要的意義。
목적:연구궁외잉병실혈성휴극급구화호리방법。방법:자료선자2011년4월-2012년10월재본원진행궁외잉병실혈성휴극치료적환자53례,대소유환자진행급구치료화유효적호리,병행부복탐사술치료。관찰급구화부복탐사술후환자병인、복강출혈、수혈등적정황,이급환자호리후적정황。결과:통과대궁외잉병실혈성휴극적환자진행일계렬적창구화호리조시지후,진행부복탐사술,학진소유환자균위이위임신,기중수란관파렬점65.3%,유산점22.6%,란소임신파렬점9.4%,궁각임신파렬점3.7%;소유환자균출현복강내출혈정황,기중출혈량재1000~1500 ml적점33.9%,1500~2000 ml적점52.8%,2000~2500 ml적점13.2%。동시진행자체혈회수적환자점47.1%,수전혈적환자위점30.1%,수홍세포점22.6%。결론:대궁외잉병실혈성휴극적환자진행급시유효성적창구급호리,가이위환자영득최가적치료시간,동시촉진환자조일강복,재림상치료중구유비교중요적의의。
Objective:To study the ectopic pregnancy andhemorrhagic shock first-aid and nursing method. Method:Data in April 2011-October 2012 in our hospital for treatment of 53 patients with ectopic pregnancy and uncontrolled hemorrhagic shock,emergency treatment and effective nursing care in patients with all,laparotomy was parallel treatment. To observe first-aid and laparotomy surgery causes,such as abdominal bleeding,blood transfusion,and patient care. Result:By patients of ectopic pregnancy and uncontrolled hemorrhagic shock after a series of rescue and nursing measures, laparotomy was conducted,all patients diagnosed as ectopic pregnancy,including tubal rupture(65.3%),abortion(22.6%),ovarian pregnancy ruptures(9.4%). Angle of palace pregnancy ruptures accounted for 3.7%. All patients with abdominal cavity hemorrhage was observed in all cases, among them the bleeding in 1000-1500 ml of 33.9%,in 1500-2000 ml of 52.8%,13.2%in 2000-2500 ml. Simultaneously autologous blood doping of patients(47.1%),whole blood of patients was 30.1%,loss of red blood cells(22.6%). Conclusion:The patients of ectopic pregnancy with hemorrhagic shock are timely and effective rescue and nursing,can win the best treatment time for the patient,and promote an early recovery of patients,has important significance in clinical treatment.