ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2022, Vol. 3 ›› Issue (5): 443-445.doi: 10.3761/j.issn.2096-7446.2022.05.011

• 急症护理研究 • 上一篇    下一篇

子宫动脉假性动脉瘤破裂致失血性休克患者的急救护理

俞娜, 陈路萍, 汪瑜, 王红娟, 阮菲, 张小媛   

  1. 310006 杭州市 浙江大学医学院附属妇产科医院妇三科
  • 收稿日期:2022-03-17 出版日期:2022-09-10 发布日期:2022-09-14
  • 通讯作者: 张小媛,E-mail：5510031@zju.edu.cn
  • 作者简介:俞娜：女,本科,主管护师,E-mail：625961922@qq.com

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

YU Na, CHEN Luping, WANG Yu, WANG Hongjuan, RUAN Fei, ZHANG Xiaoyuan   

  • Received:2022-03-17 Online:2022-09-10 Published:2022-09-14

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摘要： 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。

关键词: 动脉瘤,假性, 子宫动脉栓塞术, 休克,出血性, 急症护理

Abstract: 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.

Key words: Aneurysm,False, Uterine Artery Embolization, Shock,Hemorrhagic, Emergency Nursing