产科出血性休克的临床原因与对策分析
李小玲1，艾烨荣2
（1. 西安航天总医院产科，陕西 西安，710199；2.陕西省延安市宝塔区妇幼保健院，陕西 延安，716000）
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摘要：
目的 分析产科出血性休克的临床原因与对策。方法 回顾性分析我院2015年6月至2016年6月产科收治的132例出血性休克患者的临床资料，总结患者出血性休克的成因，并观察其治疗与护理效果。结果 本组132例患者中，造成出血性休克的原因有宫缩乏力（50.0%）、生殖道损伤（18.2%）、凝血功能障碍（12.9%）及胎盘因素（9.1%）等。经综合性治疗与护理，未见死亡，均抢救成功。结论 产科出血性休克受多因素影响，临床上经针对性与有效性治疗与护理，可挽救患者生命。
关键词：产科；出血性休克；临床原因
中图分类号：R714文献标志码：A文章编号：2096-1413(2017)21-0126-02
Clinical analysis of the causes and countermeasures of obstetric hemorrhagic shock
LI Xiao-ling 1, AI Ye-rong 2
(1. Department of Obstetrics, Xi``an Aerospace General Hospital, Xi``an 710199, China; 2. Maternal and Child Health Care Hospital in Baota District of Yan``an, Yan``an 716000, China)
ABSTRACT: Objective To analyze the clinical causes and countermeasures of obstetric hemorrhagic shock. Methods From June 2015 to June 2016, 132 cases of patients with hemorrhagic shock in our hospital were analyzed retrospectively. The causes of hemorrhagic shock were summarized, and the treatment and nursing effects were observed. Results In 132 patients of this group, the cause of hemorrhagic shock were uterine atony (50.0%), genital tract injury (18.2%), blood coagulation dysfunction (12.9%) and placental factors (9.1%), and so on. After comprehensive treatment and nursing, there was no death, and all the patients were rescued successfully. Conclusion Obstetric hemorrhagic shock is affected by many factors, the clinical pertinence and effectiveness of treatment and nursing can save the lives of patients.
KEYWORDS: obstetrics; hemorrhagic shock; clinical reasons
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