中外健康文摘
中外健康文摘
중외건강문적
WORLD HEALTH DIGEST
2013年
43期
270-272
,共3页
产后%排尿性晕厥%护理
產後%排尿性暈厥%護理
산후%배뇨성훈궐%호리
postpartum%micturition syncope%Care
晕厥属一过性症状,具有自发性、自限性和突然性等特点。一般认为晕厥的潜在发病机理为一过性全脑的低灌注。产后排尿性晕厥是反射性晕厥的一种,可在产妇排尿过程和排尿结束时突然发生,通常无发病明显征兆,在血压无明显改变的情况下,出现一过性意识障碍,表现为脉搏加快,面色苍白,意识不清等症状,在初产妇产后首次排尿时发病率较高,初产妇产后首次排尿晕厥的发生率约1%左右,是一种较为常见的护理意外,虽然产后排尿性晕厥通常可迅速完全恢复,不会留下后遗症,但如果护理不够及时,可能因晕厥意识丧失引起摔跌,可导致产妇骨折等严重后果,甚至可危及产妇生命。采取有针对性的护理措施避免和预防产后排尿性晕厥是近年来妇产科护理工作的研究热点之一,并已经取得了一定进展,现综述如下。
暈厥屬一過性癥狀,具有自髮性、自限性和突然性等特點。一般認為暈厥的潛在髮病機理為一過性全腦的低灌註。產後排尿性暈厥是反射性暈厥的一種,可在產婦排尿過程和排尿結束時突然髮生,通常無髮病明顯徵兆,在血壓無明顯改變的情況下,齣現一過性意識障礙,錶現為脈搏加快,麵色蒼白,意識不清等癥狀,在初產婦產後首次排尿時髮病率較高,初產婦產後首次排尿暈厥的髮生率約1%左右,是一種較為常見的護理意外,雖然產後排尿性暈厥通常可迅速完全恢複,不會留下後遺癥,但如果護理不夠及時,可能因暈厥意識喪失引起摔跌,可導緻產婦骨摺等嚴重後果,甚至可危及產婦生命。採取有針對性的護理措施避免和預防產後排尿性暈厥是近年來婦產科護理工作的研究熱點之一,併已經取得瞭一定進展,現綜述如下。
훈궐속일과성증상,구유자발성、자한성화돌연성등특점。일반인위훈궐적잠재발병궤리위일과성전뇌적저관주。산후배뇨성훈궐시반사성훈궐적일충,가재산부배뇨과정화배뇨결속시돌연발생,통상무발병명현정조,재혈압무명현개변적정황하,출현일과성의식장애,표현위맥박가쾌,면색창백,의식불청등증상,재초산부산후수차배뇨시발병솔교고,초산부산후수차배뇨훈궐적발생솔약1%좌우,시일충교위상견적호리의외,수연산후배뇨성훈궐통상가신속완전회복,불회류하후유증,단여과호리불구급시,가능인훈궐의식상실인기솔질,가도치산부골절등엄중후과,심지가위급산부생명。채취유침대성적호리조시피면화예방산후배뇨성훈궐시근년래부산과호리공작적연구열점지일,병이경취득료일정진전,현종술여하。
Syncope is a transient symptoms , with spontaneous , self-limiting and sudden characteristics. General y considered the potential pathogenesis of syncope is a transient hypoperfusion whole brain. Postpartum micturition syncope is a reflex syncope , can occur suddenly at the end of the process of maternal urination and urination , usual y no obvious signs of the onset , in the case of no significant change in blood pressure , a transient disturbance of consciousness, rapid pulse performance , pale , confusion and other symptoms , voiding the first time in the early postpartum higher incidence of early postpartum first micturition syncope incidence of about 1%,is a more common accident care , although postpartum micturition syncope usual y rapid and complete recovery without sequelae , but if care is not enough time , it may cause loss of consciousness due to syncope Shuaidie , maternal fractures can lead to serious consequences , and even life- threatening maternal . Adopt appropriate measures to avoid and prevent postpartum care micturition syncope is one of the research hotspots in recent years, obstetrics care , and has made some progress , are summarized below .