子宫动脉假性动脉瘤破裂致失血性休克患者的急救护理

Emergency nursing of a patient with hemorrhagic shock caused by rupture of uterine artery pseudoaneurysm

总结1例剖宫产术后子宫动脉假性动脉瘤破裂致失血性休克患者的急救护理体会。护理要点:针对患者发病急、进展快、出血量大、术前准备时间短等问题,迅速启动护理应急梯队,抢救失血性休克,快速明确诊断,紧急行双侧子宫动脉栓塞术,术后监测阴道出血量,积极预防感染,预防性镇痛缓解子宫动脉栓塞术后子宫急性缺血性疼痛,予共情护理缓解患者负性情绪。经过紧急救治及精心护理,患者于第7天康复出院。

To summarize the emergency nursing experience of a patient with hemorrhagic shock caused by rupture of uterine artery pseudoaneurysm after the cesarean section. Under the conditions including acute onset and rapid progress of the disease,massive bleeding and the short preparation time for the operation,key points of nursing included immediate activation of the emergency nursing team,rescue of hemorrhagic shock and rapid diagnosis,urgent uterine artery embolization,observation of postoperative vaginal bleeding,prevention of infection,prophylactic analgesia to relieve acute ischemic pain of uterus after uterine artery embolization,and relieve of patient’s negative emotion by empathy nursing. The patient recovered and was discharged on the seventh day after emergency treatment and careful nursing.