宫缩乏力性产后出血的护理 吕再林.docVIP

精品论文 参考文献 宫缩乏力性产后出血的护理 吕再林 内蒙古包钢集团第三职工医院 内蒙古包头 014010 【摘 要】目的 探讨宫缩乏力性产后出血的护理方法，为临床护理和预防此种疾病提供建议和经验。方法 对我院2011年1月至2015年1月收治的80例宫缩乏力性产后出血产妇的护理体会进行回顾性分析总结。结果 80例产后出血产妇全部治愈出院，无一例产妇切除子宫治疗，无一例产妇死亡。产后出血量600～1200 ml，平均出血量500ml。结论 宫缩乏力性产后出血重在预防，对高危孕产妇应努力做好围生期预防保健工作，产后进行母婴皮肤接触、子宫按摩和心理护理，从而促进产后出血产妇尽快康复。 【关键词】宫缩乏力；产后出血；护理 Abstract：Objective To investigate the nursing method of postpartum hemorrhage due to uterine inertia lying-in woman，and provide experience and recommendations for the clinical nursing and prevention of this disease.Method 80 cases of postpartum hemorrhage due to uterine inertia lying-in woman were received in our hospital from January 2011 to January 2015，their nursing experiences were retrospectively analyzed and summarized.Results 80 cases of postpartum hemorrhage lying-in woman were cured and discharged from hospital.No lying-in woman was treated with hysterectomy，and no lying-in woman died.The amount of postpartum hemorrhage was 600 to 1200 ml，and the average amount of bleeding was 500ml.Conclusion It is necessary that attach great importance to the prevention of postpartum hemorrhage，should strive to do a good job in the prevention and health care work for high risk pregnant women and lying-in woman，let mothers and babies make skin contact，give lying-in woman uterine massage and psychological care，so as to promote the recovery of postpartum hemorrhage as soon as possible. 产后出血在我国居孕产妇死亡的原因之首，是产科最常见的严重并发症之一，致死率高达16％～32％，其中最常见的是宫缩乏力所致产后出血。因此，宫缩乏力性产后出血的防治和护理是产科护理工作的首要任务[1]。本文对2011年1月至2015年1月收治的80例宫缩乏力所致产后出血产妇的护理体会经验进行回顾性总结分析，目的为临床护理和防治此病提供建议和经验，现报道如下。 1临床资料和方法 1.1一般资料 2011年1月至2015年1月收治的80例宫缩乏力性产后出血产妇，年龄25—36岁，平均年龄27岁。产后2h内出血60例，产后2h后出血20例。孕周32～41周，平均39周。初产妇70例，经产妇10例。 1.2诊断标准 产妇分娩过程中子宫收缩力减弱，产程延长；胎盘娩出后，检查腹部子宫柔软，轮廓不清，触不到宫底，或按摩子宫后收缩变硬，按摩子宫时阴道有间歇性大量出血，停止按摩子宫又变软，产妇心悸、出冷汗、面色苍白、脉搏细弱、血压降至2O-30 mm Hg、头晕。 1.3方法 （1）根据情况采用静脉滴注或肌肉注射缩宫素20U；（2）快速开放两条以上静脉通路，及时补充血容量以纠正失血性休