Postpartum hemorrhagic shock on the clinical treatment.docVIP

 PAGE \* MERGEFORMAT 8 Postpartum hemorrhagic shock on the clinical treatment [Keywords:] Clinical treatment of postpartum hemorrhagic shock Postpartum hemorrhage due to postpartum hemorrhage, shock treatment is not timely, inappropriate measures or failure of the serious complications of maternal mortality. The incidence of acute postpartum hemorrhage, bleeding fierce, rapid progress of the disease, often resulting in irreversible consequences, timely diagnosis After active treatment, is very important. 1. A rapid venous access To more than 16 to establish two or more intravenous needle venous access, to ensure venous patency to prepare for blood transfusion, if necessary, cut a vein. 2. An accurate estimate of the amount of postpartum hemorrhage An accurate estimate of postpartum hemorrhage is early diagnosis and treatment of hemorrhagic shock in the key. Estimated that there are five kinds of postpartum hemorrhage methods: visual estimation, size conversion method, weighting method, pots connection and colorimetry. One assay accurately the highest rate, but the operation is complex and difficult to promote clinical, weighing method, basin connection relatively simple, practical work, obstetricians use more visual methods. studies show that visually estimated blood loss was only half of the actual blood loss. accurately estimate the amount of bleeding postpartum should also observe the symptoms and changes in vital signs and shock index with (SI), that is SI = pulse rate / systolic blood pressure (mm Hg), if SI = 0.5 that the normal blood volume; if SI = 1.0, the blood volume loss of 20% to 30%, the equivalent of blood loss, 1,000 ~ 1,200 ml; if SIgt; 1.0, then the loss of 30% to 50% of blood volume., such as visual estimation of postpartum blood loss 200ml, but the SI = 1.0, demonstrate how the estimated far below the actual amount of bleeding bleeding, therefore, with this simple method can more accurately estimate the amount of ble