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目的:探讨异位妊娠导致失血性休克的救治措施与体会。方法:对25例异位妊娠致失血性休克患者积极开展抗休克处理并尽快手术,同时在术中充分回输自体血。结果:本组56例患者均获得成功救治,其异位妊娠均获得术后病理证实,术后排气时间(11.2±3.6)h,住院时间(6.2±1.5)d,均痊愈出院。结论:及时做出正确诊断、妥善进行抗休克处理以及充分利用自体血回输等均为异位妊娠伴失血性休克患者获得成功救治的重要措施,值得临床借鉴推广。
Objective: To investigate the treatment and experience of hemorrhagic shock caused by ectopic pregnancy. Methods: 25 cases of patients with hemorrhagic shock caused by ectopic pregnancy were actively treated with anti-shock and surgery as soon as possible, and fully autologous blood was transfused during operation. Results: All the 56 patients were successfully treated. All the ectopic pregnancies were confirmed by pathology. The duration of extubation was (11.2 ± 3.6) h and the length of stay was (6.2 ± 1.5) days. All cases were discharged. Conclusions: It is worthy of clinical reference to make timely and correct diagnosis, proper anti-shock treatment and full use of autologous blood transfusion for the successful treatment of patients with ectopic pregnancy and hemorrhagic shock.