Emergency nursing analysis of a case of severe bleeding during cesarean sectionfor a dangerous type of placenta previa
一例凶险型前置胎盘剖宫产术中大出血的急救护理分析

摘要

剖宫产率的增加使凶险型前置胎盘发生率提高，临床上将存在剖宫产史，此次为前置胎盘，胎盘植入30%～50%的病例称为凶险型前置胎盘[1]。凶险型前置胎盘产妇终止妊娠最理想的方式是行剖宫产术，但手术过程中可能会受到各种因素的影响而出现出血现象，出血后如果没有妥善处理不但会增加子宫切除的概率，甚至危及产妇生命安全[2-3]。前置胎盘患者在剖宫产术中通常出血较多且止血困难，很多产妇会在短时间内因失血较多而发生休克，因此实施有效的干预措施，有效控制术中出血情况，做好急救护理配合至关重要[4]。我院于2023年2月24日收治1例凶险型前置胎盘剖宫产术患者，术中出现大出血情况，通过多名医护人员配合实施急救护理后，患者停止出血，护理取得良好效果。本文就将此例患者急救护理干预报告如下，为临床护理工作的开展提供参考。

Abstract

The increase in cesarean section rate has led to an increase in the incidence of dangerous placenta previa, and there will be a history of cesarean section in clinical practice. This time, it is placenta previa, and 30% to 50% of cases with placental implantation are called dangerous placenta previa [1]. The most ideal way for pregnant women with dangerous placenta previa to terminate pregnancy is to undergo a cesarean section, but bleeding may occur during the surgery due to various factors. If the bleeding is not properly handled, it will not only increase the probability of hysterectomy, but also endanger the safety of the mother's life [2-3]. Patients with placenta previa usually experience significant bleeding and difficulty in stopping bleeding during cesarean section. Many mothers may experience shock due to excessive bleeding in a short period of time. Therefore, implementing effective intervention measures, effectively controlling intraoperative bleeding, and coordinating emergency care are crucial[4]. On February 24, 2023, our hospital admitted a patient with a dangerous type of placenta previa undergoing cesarean section. During the operation, there was significant bleeding. Through the cooperation of multiple medical staff in implementing emergency care, the patient stopped bleeding and achieved good results. This article reports the emergency nursing intervention of this patient as follows, providing reference for the development of clinical nursing work.