剖宫产术后腹腔出血早期识别困难,往往在生命体征不稳定时才被发现,严重危及产妇生命。该文总结了6例剖宫产术后腹腔出血病例有效识别及急救护理经验。通过对腹腔出血发生时早期预警,严密监测病情变化、做好再手术准备,及时标准化汇报病史、启动多学科快速反应团队,维持有效循环血量、优化液体复苏,维护多器官功能、做好并发症护理等系列措施,6例患者均痊愈出院。
Abdominal hemorrhage after caesarean section is difficult to identify in the early stage. It is often found when the vital signs are unstable,which may endanger the life of the pregnant woman. This paper retrospectively summarized the experience of effective identification and emergency care of 6 cases of abdominal hemorrhage after caesarean section. Through early identification and warning of abdominal bleeding,strict monitoring of changes in the condition,timely standardized reporting of medical history,preparation for second operation,initiation of a multidisciplinary rapid response team,optimization of fluid resuscitation,maintenance of multiple organ function,and proper care for complications,all 6 patients in this group recovered and were discharged from the hospital.
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