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目的探讨产科休克早期诊断及抢救处理,降低孕产妇死亡。方法对我院2003年1月~2006年6月154例产科休克病人临床资料进行回顾性的分析。结果产科休克以失血性休克为主,其中妊娠期失血性休克68例占44.15%,分娩期及产后失血性休克80例占51.94%,产科非失血性休克6例占3.89%。结论产科休克早期诊断为临床表现结合生命体征监测及实验室检查等综合判断,明确休克产生的主要原因,抢救治疗补容是基本,病因止血治疗是关键,及时纠酸,注意维护器官功能。总之,医务人员对产科休克的早期诊断及抢救处理水平是降低孕产妇和围产儿死亡率的关键。
Objective To investigate the early diagnosis and rescue treatment of obstetric shock and reduce maternal mortality. Methods The clinical data of 154 obstetric shock patients in our hospital from January 2003 to June 2006 were retrospectively analyzed. Results Obstetrical shock was dominated by hemorrhagic shock. Among them, 68 cases of hemorrhagic shock during pregnancy accounted for 44.15%, 80 cases of delivery and postpartum hemorrhagic shock accounted for 51.94%, and 6 cases of obstetric non-hemorrhagic shock accounted for 3.89%. Conclusion Obstetric shock early diagnosis of clinical manifestations combined with vital signs monitoring and laboratory tests and other comprehensive judgments, a clear shock the main causes of salvage treatment is the basic, hemostasis treatment is the key to timely correction of acid, pay attention to maintaining organ function. In short, the medical staff of the early diagnosis of obstetric shock and rescue treatment is the key to reducing maternal and perinatal mortality.