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我科于2010-10成功救治妊娠急性脂肪肝(AFLP)合并多器官功能衰竭患者1例,护理体会如下。1病历摘要女,28岁,孕38+5周。分娩前3d出现厌油、纳差、腹泻到当地卫生保健院治疗,因羊水早破自然分娩一活女婴,产后数小时发现巩膜黄染,阴道大出血转入我院ICU治疗。入院体检:T 35.5℃,HR 120次/min,R 40次/min,BP 120/60mm Hg。患者气促,强迫半坐位,皮肤湿冷、散在瘀斑,四肢末梢发绀,阴道内有不凝固血液流出,无尿;实验室检查Hb 13.9
Our department in 2010-10 successfully treated 1 case of acute fatty liver of pregnancy (AFLP) complicated with multiple organ failure, nursing experience is as follows. 1 medical record summary female, 28 years old, 38 +5 weeks pregnant. Anorexia, anorexia and diarrhea occurred on the 3rd day before labor. The local health care home was treated for premature rupture of amniotic fluid, and a baby girl was born after premature rupture of amniotic fluid. Scleral yellow dye was found within a few hours postpartum and vaginal bleeding was transferred to ICU of our hospital. Admission examination: T 35.5 ℃, HR 120 beats / min, R 40 beats / min, BP 120 / 60mm Hg. Patients with shortness of breath, forced half-sitting, cold and wet skin, scattered ecchymosis, cyanosis of extremities, vaginal non-coagulation blood outflow, no urine; laboratory examination Hb 13.9