中国继续医学教育
中國繼續醫學教育
중국계속의학교육
China Continuing Medical Education
2015年
25期
90-91
,共2页
产科%ICU 救治%孕产妇%危急重症
產科%ICU 救治%孕產婦%危急重癥
산과%ICU 구치%잉산부%위급중증
Obstetrics%ICU treatment%Pregnant women%Critical care
目的：探讨针对危急重症孕产妇，观察产科联合 ICU（重症监护室）完成治疗后获得的临床效果。方法选择我院2006～2014年危急重症孕产妇48例。针对所有患者选择产科联合 ICU 对患者救治的方法。针对患者的临床资料实施回顾性分析。结果在所有患者中，属于子宫收缩乏力造成产后出血的患者22例，属于重度子痫前期的患者16例，属于前置胎盘的患者6例，属于胎盘早剥的患者4例。患者进入到 ICU 后，对患者进行必要的脏器支持治疗以及有效监护，患者表现出休克症状后，临床选择实施锁骨下静脉穿刺，最终获得显著效果，所有产妇全部成功完成治疗。在48例患者中，临床选择实施剖宫产的患者40例，临床选择实施阴道分娩的患者8例。结论针对危急重症孕产妇，临床选择产科配合 ICU 临床救治的方法进行治疗，可以有效确保孕产妇的生命安全，将孕产妇死亡率有效降低。
目的：探討針對危急重癥孕產婦，觀察產科聯閤 ICU（重癥鑑護室）完成治療後穫得的臨床效果。方法選擇我院2006～2014年危急重癥孕產婦48例。針對所有患者選擇產科聯閤 ICU 對患者救治的方法。針對患者的臨床資料實施迴顧性分析。結果在所有患者中，屬于子宮收縮乏力造成產後齣血的患者22例，屬于重度子癇前期的患者16例，屬于前置胎盤的患者6例，屬于胎盤早剝的患者4例。患者進入到 ICU 後，對患者進行必要的髒器支持治療以及有效鑑護，患者錶現齣休剋癥狀後，臨床選擇實施鎖骨下靜脈穿刺，最終穫得顯著效果，所有產婦全部成功完成治療。在48例患者中，臨床選擇實施剖宮產的患者40例，臨床選擇實施陰道分娩的患者8例。結論針對危急重癥孕產婦，臨床選擇產科配閤 ICU 臨床救治的方法進行治療，可以有效確保孕產婦的生命安全，將孕產婦死亡率有效降低。
목적：탐토침대위급중증잉산부，관찰산과연합 ICU（중증감호실）완성치료후획득적림상효과。방법선택아원2006～2014년위급중증잉산부48례。침대소유환자선택산과연합 ICU 대환자구치적방법。침대환자적림상자료실시회고성분석。결과재소유환자중，속우자궁수축핍력조성산후출혈적환자22례，속우중도자간전기적환자16례，속우전치태반적환자6례，속우태반조박적환자4례。환자진입도 ICU 후，대환자진행필요적장기지지치료이급유효감호，환자표현출휴극증상후，림상선택실시쇄골하정맥천자，최종획득현저효과，소유산부전부성공완성치료。재48례환자중，림상선택실시부궁산적환자40례，림상선택실시음도분면적환자8례。결론침대위급중증잉산부，림상선택산과배합 ICU 림상구치적방법진행치료，가이유효학보잉산부적생명안전，장잉산부사망솔유효강저。
Objective To investigate the clinical effect of the treatment of acute severe maternal, observing the obstetric combined ICU (intensive care unit). Methods 48 cases of severe and severe cases in our hospital from 2006 to 2014were selected. For the treatment of patients with obstetric combined ICU. A retrospective analysis was carried out on the clinical data of the patients. Results In all patients, 22 cases of postpartum hemorrhage caused by uterine contraction fatigue, 16 cases of severe preeclampsia, 6 cases of patients with placenta placenta, 4 cases of patients with placenta. After entering the ICU, the patients were treated with the necessary organ support therapy and effective monitoring. The patients were treated with the treatment of the patients with shock, and the clinical choice was carried out with the clavicle vein puncture. In 48 patients, 40 patients were selected to carry out cesarean section, and 8 cases of vaginal delivery were selected. Conclusion In the treatment of severe and severe pregnant women, the clinical choice of obstetrics with ICU clinical treatment method for treatment, can effectively ensure the safety of pregnant women, the maternal mortality rate is effectively reduced.
