产科出血性休克的临床原因及治疗对策分析

Analysis of the Clinical Causes and Treatment of Hemorrhagic Shock in Obstetrics Department

目的总结产科出血性休克的临床原因、治疗对策以及结果,为产科治疗工作的开展提供参考。方法选择50例我院诊治的产科出血性休克患者,具体分析患者出血性休克原因、治疗方案。结果产科患者出血性休克的前三位因素为宫缩乏力、生殖道损伤、凝血功能障碍,高于其他因素发生率。经过抢救治疗后,50例患者中49例患者均抢救成功,仅有1例患者切除子宫,无治疗期间死亡情况。结论产科治疗中出血性休克具有病情危急的特点,需要尽早抢救、补充血容量、氧气支持、药物对症治疗,整体上提高患者的治疗效果、生存率。

Objective To summarize the clinical reasons, treatment strategies and results of obstetric hemorrhagic shock, and provide references for the development of obstetric treatment. Methods 50 cases of hemorrhagic shock were selected in our hospital, and the cause and treatment of hemorrhagic shock were analyzed. ResultsThe first three factors of hemorrhagic shock in obstetrical patients were contractions, genital injury, coagulant dysfunction, higher than other factors. After the rescue treatment, 49 of the 50 patients were successfully rescued. Only 1 patient had a hysterectomy and died without treatment. Conclusion The treatment of the obstetrical hemorrhagic shock has the characteristics of critical condition, the need to save as early as possible, supplement of blood capacity, oxygen support, drug symptomatic treatment, as a whole to improve the therapeutic effect of patients, the survival rate.