Postpartum hemorrhage causes polyuria and nursing.docVIP

 PAGE \* MERGEFORMAT 5 Postpartum hemorrhage causes polyuria and nursing [Keywords:] polyuria care of postpartum hemorrhage Postpartum hemorrhage is common obstetric complications, maternal mortality is one of the main. Postpartum hemorrhage and urination, of its rare. Obstetric hospital from November 1999 to December 2003, occurred in 4 cases of postpartum hemorrhage with polyuria, is the cause and care of its report as follows. 1 Clinical data 1.1 General Information 4 patients in this group, aged 26 to 33 years old, were cesarean section, the first child in 1 case, 3 cases of more than two births. 2 cases of pregnancy induced hypertension. Hemorrhage occurred in 5 patients h, the blood loss was 800 ~ 4 100 ml, 1 case of bleeding in cesarean section 3 500 ml. polyuria in patients 7 ~ 12 h, urine output per hour is 160 ~ 780 ml, 24 h urine volume up to 3 500 ml or more, sustained 36 ~ 98 h. 1.2 Results 4 patients, 3 cases occurred early manifestation of shock. Was no dehydration and electrolyte imbalance, anemia corrected. Hospitalized 10 to 18 days, all cured. 2 Care 2.1 The psychological care due to extensive blood loss, the patient’s body is very weak, and there is more of urine, the patient and family are very scared, so patients must be concerned about the comfort, please accompany patients to give more thoughtful husband to relieve tension in patients with concerns and made a positive match. 2.2 out of accurate records of the amount of hand-care, the correct amount of fluid access to records, especially for the correct dosage cup urine volume measurement, recording hourly urine output, the amount of vaginal bleeding and weighing method using accurate estimate of the measuring cup (weighing method: dressing weight after giving birth - birth weight = dressing of blood loss, blood specific gravity of 1.05 g = 1 ml [1], should also be excluded from normal adult skin and respiratory tract mucosa by non-inductive evaporation of about 85