1 case of uterine rupture is not complete nursing care for pregnant women.docVIP

 PAGE \* MERGEFORMAT 7 1 case of uterine rupture is not complete nursing care for pregnant women Of: Tangjian Yan Hong Xiaojuan Chen Xueying [Abstract] This paper summarizes one case of incomplete uterine rupture caused by intrauterine fetal death and hemorrhagic shock rescue Nursing. [Keywords:] uterine rupture Care Uterine rupture is late in childbirth or pregnancy, the body of the uterus or uterine rupture following paragraph is a very serious obstetric complications, if not timely diagnosis and treatment can lead to fetal and maternal mortality In 2009 admitted to our department from September 1 cases of incomplete uterine rupture in pregnant patients, caregivers will now be summarized as follows. 1 Case information 1.1 history Pregnant women with no obvious incentive to the lower abdomen pains, vaginal bleeding with no flow solution to be produced in local private clinics, found that “abnormal fetal position” can not vaginal trial production, flat car 14:00 transferred to our hospital emergency room. Pregnant 27-year-old, G3P1A1, menopause, 37 weeks, T: 37 , P: 86 times / min, HR: 86 beats / min, R: 20 times / min, BP: 125/80mmHg, uterus hard, there is tenderness, rebound tenderness, there was no significantly reduced complex pathological ring, ignoring the occipito transverse position, fetal heart rate did not hear, uterine: 35 “/ 3 ‘. there is a little bright red bloody vaginal fluid outflow, anal investigation: cervix wide, shoulders first, Lu, has been convergence and fetal membranes have been broken, and no outflow of amniotic fluid, umbilical cord prolapse is not. degree of edema (swelling of abdominal less), no hematuria .14:30 emergency obstetric B-Tip: fetal transverse single intrauterine pregnancy, stillbirth. 1.2 after the treatment and care Placed in the intensive care unit, medical personnel immediately organized rescue, rapid establishment of intravenous access, add crystal solution. Continuous ECG monitoring