中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2014年
10期
1350-1351
,共2页
产科失血性休克%临床特点%救治效果
產科失血性休剋%臨床特點%救治效果
산과실혈성휴극%림상특점%구치효과
Obstetric uncontrolled hemorrhagic shock%Clinical characteristics%Treatment effect
目的：分析产科失血性休克产妇的发病原因、临床特点、救治方法和救治效果。方法：选取我院收治的40例产科失血性休克产妇患者，回顾性分析患者的临床资料。结果：患者经积极监测生命体征、抗休克和防治功能衰竭等措施救治后取得良好的效果，所有患者休克得以纠正，出血情况得到有效的控制，患者的平均手术时间为(57.3±9.4)min，平均出血量为(984.5±198.4)ml，平均流血时间为(11.3±2.5)d，止血有效率为97.5%，子宫切除率为2.5%，无1例死亡，抢救成功率为100.0%。所有产妇的血气以及血压均恢复至正常水平，患者的临床症状均得到明显的改善，检测尿量均超过30ml/h。结论：产科失血性休克是一种非常危急的病症，如果没有得到及时的救治很容易导致患者死亡。在抢救过程中应及时找出产妇失血性休克的病因及临床特点，以此采取有效的救治措施，从而提高抢救成功率。
目的：分析產科失血性休剋產婦的髮病原因、臨床特點、救治方法和救治效果。方法：選取我院收治的40例產科失血性休剋產婦患者，迴顧性分析患者的臨床資料。結果：患者經積極鑑測生命體徵、抗休剋和防治功能衰竭等措施救治後取得良好的效果，所有患者休剋得以糾正，齣血情況得到有效的控製，患者的平均手術時間為(57.3±9.4)min，平均齣血量為(984.5±198.4)ml，平均流血時間為(11.3±2.5)d，止血有效率為97.5%，子宮切除率為2.5%，無1例死亡，搶救成功率為100.0%。所有產婦的血氣以及血壓均恢複至正常水平，患者的臨床癥狀均得到明顯的改善，檢測尿量均超過30ml/h。結論：產科失血性休剋是一種非常危急的病癥，如果沒有得到及時的救治很容易導緻患者死亡。在搶救過程中應及時找齣產婦失血性休剋的病因及臨床特點，以此採取有效的救治措施，從而提高搶救成功率。
목적：분석산과실혈성휴극산부적발병원인、림상특점、구치방법화구치효과。방법：선취아원수치적40례산과실혈성휴극산부환자，회고성분석환자적림상자료。결과：환자경적겁감측생명체정、항휴극화방치공능쇠갈등조시구치후취득량호적효과，소유환자휴극득이규정，출혈정황득도유효적공제，환자적평균수술시간위(57.3±9.4)min，평균출혈량위(984.5±198.4)ml，평균류혈시간위(11.3±2.5)d，지혈유효솔위97.5%，자궁절제솔위2.5%，무1례사망，창구성공솔위100.0%。소유산부적혈기이급혈압균회복지정상수평，환자적림상증상균득도명현적개선，검측뇨량균초과30ml/h。결론：산과실혈성휴극시일충비상위급적병증，여과몰유득도급시적구치흔용역도치환자사망。재창구과정중응급시조출산부실혈성휴극적병인급림상특점，이차채취유효적구치조시，종이제고창구성공솔。
Objective: To analysis the maternity uncontrolled hemorrhagic shock,maternal etiology,clinical characteristics, treatment methods and treatment effect.Methods:Select our hospital 40 obstetric patients with uncontrolled hemorrhagic shock maternal,were retrospectively analyzed the clinical data of patients,summarized the etiology,clinical characteristics,treatment methods and treatment effect.Results:The patients with active surveillance,resistance to shock the patient's vital signs monitoring and prevention and cure function failure measures such as obtain good clinical effect after treatment,all patients were rectiifed shock,to effectively control of bleeding in patients with average operation time was (57.3± 9.4) min, the average blood loss was (984.5±198.4)ml,average bleeding time was (11.3±2.5)d,hemostatic effective rate of 97.5%,the uterus resection rate was 2.5%, with no deaths,rescue success rate of 100.0%.All maternal blood gas and blood pressure returned to normal level,to improve clinical symptoms of patients obviously,detection of urine more than 30ml/h.Conclusion:Obstetric uncontrolled hemorrhagic shock is a very critical condition,if you don't get timely treatment is very easy to cause the patients died.In the rescue process should be timely ifnd out the cause of maternal uncontrolled hemorrhagic shock and the clinical characteristics,in order to take effective treatment measures,so as to improve the rescue success rate.
