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目的观察和分析难治性产后出血并发症产生的原因,并提出相关的护理措施。方法选取2012年3月至2014年3月接受治疗的难治性产后出血患者40例,并对患者的临床相关资料进行回顾性分析。结果患者的产后出血与患者的分娩方式有着一定的关系,剖宫产的产后出血率为5.02%,自然分娩的产后出血率为1.87%,剖宫产患者的产后出血率明显高于自然分娩患者,差异有统计学意义(P<0.01);产次大于等于2,且胎儿出生重量大于4kg,有过流产史的患者再次生产产后出血的现象会比较严重,且出血率也会比较高;患者之所以会出现产后出血,也与宫缩乏力、胎盘因素、软产道裂伤等危险性因素相关。结论难治性产后出血并发症的产生与多种危险性因素有着直接的关系,护理时需要严密地对患者的病情变化多加观察,对患者的产后出血现象做好积极处理,并对相关的并发症做好相应的护理对策,以此来提高难治性产后出血并发症的治疗效果。
Objective To observe and analyze the causes of refractory postpartum hemorrhage complications and to propose related nursing measures. Methods Forty patients with refractory postpartum hemorrhage treated from March 2012 to March 2014 were selected and the clinical data of the patients were retrospectively analyzed. Results The postpartum hemorrhage in patients had a certain relationship with the mode of delivery. The rate of postpartum hemorrhage was 5.02% in cesarean section and 1.87% in natural delivery. The postpartum hemorrhage rate in cesarean section was significantly higher than that in spontaneous delivery , The difference was statistically significant (P <0.01); production times greater than or equal to 2, and fetal birth weight greater than 4kg, have a history of abortion in the production of postpartum hemorrhage will be more serious, and the bleeding rate will be higher; patients The reason why there will be postpartum hemorrhage, but also with uterine atony, placental factors, soft birth canal laceration and other risk factors. Conclusions The incidence of refractory postpartum hemorrhage complication has a direct relationship with many risk factors. During the nursing, the patient’s condition should be closely observed, and the postpartum hemorrhage should be actively treated. The related complications Symptoms do a good job corresponding nursing measures, in order to improve the treatment of refractory postpartum hemorrhage complications.