目的总结帆状胎盘前置血管破裂孕妇的护理要点。方法给予患者安胎、抗感染、加强营养等治疗并严密观察母婴变化,积极配合抢救。结果2例均为早产,1例行剖宫术,新生儿体重为2 200 g,Apgar评分为1 min 6分、10min 8分;另1例为自然产,新生...目的总结帆状胎盘前置血管破裂孕妇的护理要点。方法给予患者安胎、抗感染、加强营养等治疗并严密观察母婴变化,积极配合抢救。结果2例均为早产,1例行剖宫术,新生儿体重为2 200 g,Apgar评分为1 min 6分、10min 8分;另1例为自然产,新生儿体重为1 480 g,新生儿Apgar评分为1 min 5分、5 min 8分、10 min 10分,均需行气管插管。结论在孕期期间,应重视产前检查,鉴别孕期出血的特征及加强高危孕妇健康教育等,以协助早期诊断和治疗;分娩时助产士应掌握该病临床特征,严密监护,协助围产儿抢救,提高抢救成功率。展开更多
Vasa previa is a rare obstetric complication, characterized by fetal umbilical cord blood vessels being unprotected by Wharton’s jelly or placental tissue and located within 20 mm of the internal cervical os. This ca...Vasa previa is a rare obstetric complication, characterized by fetal umbilical cord blood vessels being unprotected by Wharton’s jelly or placental tissue and located within 20 mm of the internal cervical os. This case describes a late pregnancy antepartum hemorrhage that was promptly treated with a cesarean section. During the surgery, a ruptured vasa previa was found, and fortunately, the rupture was blocked by a clot, resulting in minimal blood loss. Both mother and baby had a good outcome. The case is used to elaborate on the high-risk factors, classification, diagnostic methods, and treatment plans for vasa previa, aiming to increase the detection rate of this condition and manage it systematically, ultimately improving perinatal outcomes.展开更多
文摘目的总结帆状胎盘前置血管破裂孕妇的护理要点。方法给予患者安胎、抗感染、加强营养等治疗并严密观察母婴变化,积极配合抢救。结果2例均为早产,1例行剖宫术,新生儿体重为2 200 g,Apgar评分为1 min 6分、10min 8分;另1例为自然产,新生儿体重为1 480 g,新生儿Apgar评分为1 min 5分、5 min 8分、10 min 10分,均需行气管插管。结论在孕期期间,应重视产前检查,鉴别孕期出血的特征及加强高危孕妇健康教育等,以协助早期诊断和治疗;分娩时助产士应掌握该病临床特征,严密监护,协助围产儿抢救,提高抢救成功率。
文摘Vasa previa is a rare obstetric complication, characterized by fetal umbilical cord blood vessels being unprotected by Wharton’s jelly or placental tissue and located within 20 mm of the internal cervical os. This case describes a late pregnancy antepartum hemorrhage that was promptly treated with a cesarean section. During the surgery, a ruptured vasa previa was found, and fortunately, the rupture was blocked by a clot, resulting in minimal blood loss. Both mother and baby had a good outcome. The case is used to elaborate on the high-risk factors, classification, diagnostic methods, and treatment plans for vasa previa, aiming to increase the detection rate of this condition and manage it systematically, ultimately improving perinatal outcomes.
