Pregnancy and extraperitoneal care plan and application of extensive hemorrhage.doc

 PAGE \* MERGEFORMAT 6 Pregnancy and extraperitoneal care plan and application of extensive hemorrhage [Keywords:] Pregnancy extensive hemorrhage Wide range of pregnancy and extraperitoneal hemorrhage and necrosis is a clinical rare form of pregnancy complications, the incidence of rare, the correct diagnosis immediately after the shock, bleeding, blood transfusions, prevention of infection and other symptomatic treatment. After 18 days of active salvage therapy and intensive care, patients discharged, follow-up health. 1 Clinical data Patients, female, 30 years old. 9 months due to menopause, dizziness, swelling of the body more than a month, with abdominal pain, shortness of breath one day. At a local hospital by the treatment of anemia of pregnancy, lost 1500ml of blood inflammatory symptomatic of the same type. In the afternoon of abdominal pain, palpitation and shortness of breath, dizziness, discomfort, hospital emergency closing. Physical examination: T 36 , P 90 beats / min, R25 beats / min, BP 8/4KPA. Pale, severe hemorrhagic appearance, clean mind, the spirit of poor, normal heart and lung, abdominal bulge, swelling of the liver (+++), spleen palpation satisfied. Obstetric examination: Avco 38cm, abdominal girth 103cm, fetal position LOA. No fetal heart rate. Hysterectomy as hard as plate, tenderness (+), B-Tip, “placental abruption, fetal death.” Laboratory: WBC1.87 1012 / L, HB5.5g, RBCl4.2 109 / L. 2 Characteristics of the disease 2.1 The medical records rare, very poor general condition due to severe anemia, easy to complications after surgery, nursing difficult. 2.2 The complexity of surgical procedure, intraoperative see the rectus abdominis, preperitoneal bleeding showed a dark purple spot, partial necrosis, the lower profile rich in parallel operation to take a man dead babies, between the peritoneum and abdominal muscle hematoma with extensive hemorrhage and necrosis, place the drainage tube a