妊娠高血压综合征及剖宫产术后病人护理探究.docVIP

妊娠高血压综合征及剖宫产术后病人护理探究【摘要】目的探讨妊娠高血压综合征及剖宫产术后病人的护理。方法对本院收治的妊娠高血压综合征的产妇护理分析:1、术前护理应预防并发症、心理护理、产前子痫的护理、剖宫产术前护理;2、术后护理对生命体征的观察和护理、留置导尿管的护理、水肿的护理。结果妊娠高血压综合征及剖宫产术后患者的护理在治疗中起着不可缺失的作用。结论产后子痫是妊娠及分娩并发症中的一种,临床上并不多见,及早发现并发症,做好术前、术后的护理,齐心合力是治疗成功的关键。 【关键词】妊娠高血压综合征剖宫产护理 中国图分类号:R473.71 文献标识码:A 文章编号:1005-0515(2010)08-014-03 After hypertension of pregnancy syndrome and c-section technique, patient’s nursing research LIN Huibi (SiChunChengdethesecondpatient’s Hospital OF Jintang,Sichuan Chengdu610404 【Abstract】Objective After discussion hypertension of pregnancy syndrome and c-section technique, patient’s nursing. MethodsNurses the analysis to this courtyard admitting hypertension of pregnancy syndrome’s parturient woman: 1st, before the technique, nursing should prevent the complication, psychological nursing, pre-natal eclampsia nursing, the c-section technique, to nurse; 2nd, after the technique, nurses to the life symptom observation and nursing, leaves alone catheter’s nursing, dropsy’s nursing. Results After hypertension of pregnancy syndrome and c-section technique, patient’s nursing plays in the treatment may not the flaw role. Conclusion The post-natal eclampsia is in the pregnancy and the childbirth complication one kind, on clinical not sees, discovers the complication early, after before completing the technique, technique nursing, of one mind with joint forces treats the successful key. 【key words】Hypertension of pregnancy syndrome C-sectionNursing 妊娠分娩合并症和并发症的发病率较高,一旦发生对孕产妇的危害极大,现对我科收治的妊娠高血压综合征的产妇进行分析,现报告如下: 1资料与方法 1.1一般资料 患者,女,28岁,因妊娠42周,阴道流水4h,高血压,双下肢水肿1月入院。查:体温36.7°C,脉搏80/min,血压17/12kPa,呼吸18/min,B超显示宫内妊单活胎,头位,胎盘Ⅱ度~Ⅲ度脐绕颈2周,胎心良好。凝血四项PT10.28s,APTT41.39sbc,Fbg3.22g/L,TT10.63stc,肝功能正常,肾功能正常,诊断为①G1P0孕42W;②过期妊娠;③早破水;④妊娠高血压综合征。 1.2方法 产妇于2005年3月16日18:00出现规律宫缩,于3月17日14:00内诊:宫口开大3cm,胎儿尚好,宫缩规律,予以静脉推安定10mg,以促进产程进展,期间产妇无主诉不适,于15:00继宫缩后出现了颈项强直,双眼上吊,口吐白沫,神志不清,面部青紫,紧急给持续低流量吸氧,并将开口器置口腔内,防止舌后坠并立即静脉输注10%葡萄糖250mL,硫酸镁5g,抽搐持续2min后,病人出现神志清醒,面部稍红,当时测血压24/1