摘要
目的探讨提高前置胎盘伴胎盘植入腹主动脉球囊预置术剖宫产围手术期护理质量的措施。方法回顾2016年10月至2017年6月南京鼓楼医院集团宿迁市人民医院产科收治的16例前置胎盘伴胎盘植入产妇的临床资料,总结分析该治疗方法的临床效果以及相应的护理措施。结果经过治疗与悉心护理,16例母婴安全出院,其中14例得以保留子宫,2例子宫切除。术后无感染、肝肾功能损害、下肢深静脉血栓等严重并发症发生。结论前置胎盘伴胎盘植入采用腹主动脉球囊预置术剖宫产可有效减少术中出血及输血量,降低子宫切除率;围手术期有效护理对促进产妇康复,保证母婴安全同样重要。
Objective To explore the measures of perioperative care quality improvement for the patientswith placenta previa complicated with placenta accrete who received cesarean section and temporary balloonocclusion of the distal abdominal aorta.Methods The clinical data of 16 cases of placenta previa with placentaaccreta from October 2016 to June 2017 were collected. The clinical effects and corresponding nursing measures ofthe treatment were ummarized.Results Of the 16 cases who discharged safely, 14 patients retained the uterussuccessfully during caesarean section with 2 patients receiving hysterectomy during caesarean section . No seriouscomplications such as infection, liver and kidney dysfunction, deep vein thrombosis of the lower extremitiesoccured. Conclusions The use of perioperative temporary balloon occlusion of the distal abdominal aorta inpatients with placenta previa complicated with placenta accrete can reduce the volumes of intraoperative blood lossand transfusion, as well as the rate of hysterectomy. Effective perioperative care measures are equally important forpromoting maternal rehabilitation and ensuring maternal and child safety.
作者
薛秀梅
王海燕
姜丽利
华丽莉
Lili(Department of Obstetrics,Suqian People＇s Hospital of Nanjing Drum Tower Hospital Group,Suqian 223800,China）Corresponding author： XUE Xiumei,Email：13773906300＠ 163.com)
出处
《医药高职教育与现代护理》
2018年第4期221-223,共3页
Medical Higher Vocational Education and Modern Nursing
关键词
腹主动脉球囊预置
前置胎盘
胎盘植入
剖宫产
护理
Perioperative temporary balloon occlusion of the distal abdominal aorta
Placenta previa
Placenta accrete
Cesarean section
Nursing
