复发性流产患者中期妊娠宫内感染致感染性休克的护理1例

Nursing care of intrauterine infection complicated with septic shock in middle pregnancy for a patient with recurrent spontaneous abortion

目的总结1例复发性流产患者中期妊娠宫腔感染致感染性休克,抗休克治疗过程中并发产后出血的护理经验。方法2020年6月浙江大学医学院附属妇产科医院收治1例复发性流产患者中期妊娠宫腔感染,入院后给予严密观察病情,制订个性化应急预案,病情变化时快速响应,紧密配合积极抢救,做好术后出血的观察与护理,及时有效抗感染,做好心理护理及健康指导。结果经积极治疗和精心护理,患者恢复良好,术后8 d康复出院。结论针对宫腔感染患者,特别是复发性流产患者,做好严密的病情观察、及时启动应急预案、终止妊娠、有效抗感染治疗,做好心理护理及健康指导对保障患者的生命安全和促进生殖健康至关重要。

Objective To summarize the nursing care experience of intrauterine infection complicated with septic shock in middle pregnancy for a patient with recurrent spontaneous abortion and postpartum hemorrhage during anti shock treatment.Methods On June 2020,one patient with recurrent spontaneous abortion was admitted to our hospital with intrauterine infection in the second trimester of pregnancy.Close observation of disease changes,formulate personalized emergency plan,respond quickly when the condition changes,cooperate closely and actively rescue,observation and nursing of postoperative hemorrhage,anti-infective therapy timely,psychological nursing and health education.After active rescue and careful nursing,the patient recovered and discharged 8 days after abortion.Results After active treatment and careful nursing,the patient recovered well and recovered 8 days after operation.Conclusion For patients with intrauterine infection,especially patients with recurrent spontaneous abortion,close observation,timely initiation of emergency plans,termination of pregnancy effective anti-infection treatment,and psychological nursing and health guidance are essential to ensure the life safety of patients and promote reproductive health.