异位妊娠合并失血性休克围手术期的治疗分析

Analysis of ectopic pregnancy with hemorrhagic shock in peri operation period treatment

目的探讨异位妊娠合并失血性休克患者的围手术期治疗。方法将我院妇产科收治的43例异位妊娠合并失血性休克的患者设为观察组,对观察组患者实施腹腔镜手术治疗,将早期在我院行开腹手术治疗的43例异位妊娠合并失血性休克患者设为对照组,对比分析两组患者的围手术期指标情况。结果 86例患者手术全部成功,无并发症发生,手术前两组患者的血流动力学和氧代谢比较差异无统计学意义(P>0.05),手术结束复苏后,观察组患者的血流动力学和氧代谢改善情况明显优于对照组患者(P<0.05)。结论采用腹腔镜手术治疗异位妊娠合并失血性休克患者,疗效显著、安全性高。

objective To investigate the peri operation period of ectopic pregnancy with hem orrhagic shock patients treatment. Methods 43cases of ectopic pregnancy in our hospital obstetrics and gynecologywere complicated with hemorrhagic shock patients as the observation group, the observation group were treated with laparoscopic operation treatment, early in 43 cases in our hospitalunderwent open operation treatment of ectopic pregnancy withhemorrhagic shock patients as control group, comparative analysis of peri operation index two groups of patients. results The operationwas successful in all 86 patients, no complications, operation beforethe hemodynamics and oxygen metabolism in patients of the two groups had no signiifcant difference （P〉0.05）, the end of recoveryafter operation, obse rvation of hemodynamics and oxygen metabolism in groups were significantly higher than those in control group patients （P〈0.05）. conclusion The laparoscopic operation in treatment of ectopic pregnancy with hemorrhagic shock patients, a signiifcant clinical effect, high safety.