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目的:探讨产科出血性休克的临床原因并观察治疗的效果。方法:选取东莞市第三人民医院在2014年6月至2016年6月收治的65例出血性休克患者,回顾分析的方法患者的临床治疗资料,总结产科患者发生出血性休克的原因并观察治疗的效果。结果:产科患者出现出血性休克的临床原因主要有全身因素、子宫局部因素、子宫收缩乏力、产道破裂以及胎盘因素等;出血量和休克存在正相关的关系,出血量越大,休克发生的几率越高;在65例患者当中,只有1例患者抢救无效死亡,治疗效果满意。结论:对于出现出血性休克的患者需要及时采取有效的措施进行抢救,主要的措施有控制体质量、实施止血、开通路、补充血容量、纠正酸中毒等,及时对患者采取这些措施可以有效的降低患者的死亡率。
Objective: To investigate the clinical causes of obstetric hemorrhagic shock and observe the effect of treatment. Methods: Sixty-five patients with hemorrhagic shock who were treated in Dongguan Third People’s Hospital from June 2014 to June 2016 were retrospectively analyzed. The clinical data of patients were collected and the causes of hemorrhagic shock in obstetric patients were summarized and observed Effect. Results: The main causes of hemorrhagic shock in obstetric patients were systemic factors, uterine local factors, uterine atony, rupture of birth canal and placental factors. There was a positive correlation between the amount of hemorrhage and shock, the greater the amount of bleeding and the frequency of shock The higher; in 65 patients, only 1 patient died of rescue invalid, the treatment effect is satisfactory. Conclusions: For patients with hemorrhagic shock, timely and effective measures should be taken to rescue them. The main measures include controlling body mass, stopping bleeding, opening the way, replenishing blood volume, correcting acidosis, etc. It is effective to take prompt measures on patients Reduce patient mortality.