Rh母儿血型不合综合治疗的护理

Nursing of the Therapy of Rh Incompatibility

报告 45例Rh母儿血型不合孕妇综合治疗的护理体会 ,提出Rh母儿血型不合的护理要求 :(1)注重建立良好的护患关系 ,做好心理护理 ;(2 )教育孕妇坚持孕期系统治疗 ,及时掌握胎儿在宫内的安危 ;(3)严密观察新生儿黄疸消长和一般情况 ;(4 )光疗中加强婴儿护理 ;(5 )换血时密切观察生命体征 ,预防并发症发生。结果 :除 1例死胎引产外 ,40例存活无并发症 ,4例死亡 ,治愈率达 88 9%。认为 :Rh母儿血型不合虽病情严重 ,但通过及时的综合治疗和精心护理 。

Nursing experience in the therapy of 45 cases of Rh blood group incompatibility was reported,and the nursing requirements were raised as follows:(1)good nurse patients relationship is important and psychological nursing should be done well.(2)Teach the patient to insist of systematic treatment,master timely intrauterine state of fetus.(3)Observe progressions and regression of jaundice,and general statement of newborn.(4)Enhance newborn nursing in the phototherapy.(5)Observe newborns physical signs in the course of blood exchange,predict the occurrence of complications.Results:one case was labor induced sine fetal death,40 cases lived without complications,4 cases died,the cure rate reached 88.9 percent.Conclusion:Though Rh blood group incompatibility is severe,most of them can be cured through timely treatment and careful nursing.