论文部分内容阅读
妇产科常见的休克有:1.低血容量休克。可见于产后流血、宫外孕破裂、不全流产、前置胎盘、胎盘早期剥离、葡萄胎绒癌、晚期宫颈癌等引起的出血。当血容量减少未达循环总血量的15％,临床上多无症状。如超过20％以上时,临床上多出现症状,但由于孕妇特别是晚期妊娠时血容量增多,故血容量减少超过20％,临床表现可能较轻,此类与一般非妊娠失血性休克者有所不同,应予注意。 2.创伤性休克。常见于因困难或粗暴的手术操作引起的严重而又广泛的软产道损伤,如深而长的阴道裂伤,宫颈撕裂,子宫破裂,困难产钳,人工剥离胎盘,粗暴的内倒转术或大手术,挤压伤等。创伤性休克是一种复杂的病理过程,与广泛的组织损伤、疼痛及出血等多种因素有关,而以失血为主要诱因。
Obstetrics and gynecology common shock are: 1. Hypovolemic shock. Can be found in postpartum bleeding, ectopic pregnancy rupture, incomplete abortion, placenta previa, early placental exfoliation, grapevine choriocarcinoma, advanced cervical cancer caused by bleeding. When the blood volume decreased less than 15% of the total circulating blood volume, clinically asymptomatic. If more than 20% or more, the clinical symptoms, but as pregnant women, especially in late pregnancy, increased blood volume, so reduce the blood volume of more than 20%, clinical manifestations may be lighter, such and general non-pregnancy hemorrhagic shock who have Different, should be noted. Traumatic shock Common in difficult or rude surgical operations caused by serious and widespread soft birth canal injury, such as deep and long vaginal laceration, cervical laceration, uterine rupture, difficult forceps, manual dissection of the placenta, rough internal inversion surgery or large Surgery, crush injury and so on. Traumatic shock is a complex pathological process, with a wide range of tissue damage, pain and bleeding and other factors, and to blood loss as the main incentive.