Open Access Article
Contemporary Nursing. 2020; 1: (3) ; 357-359 ; DOI: 10.12208/j.cn.20200117.
Obstetric blood transfusion treatment causes and efficacy evaluation
产科输血治疗原因及疗效评估
作者：
宋成秀 *
云南省第一人民医院昆明理工大学附属医院产科 云南昆明
*通讯作者：
宋成秀,单位：云南省第一人民医院昆明理工大学附属医院产科 云南昆明；
发布时间: 2020-09-15 总浏览量: 698
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摘要
目的 分析产科输血治疗的原因及临床疗效。方法 选取于2019年5月至2020年3月在我院产科分娩的63例产妇作为研究对象，其中27例为顺产，其余36例为剖宫产，在术中，产妇均出现了不同程度的大出血情况，需接受数学治疗，本次实验中需对63例存在产后出血情况的产妇进行回顾性调查，探究输血治疗的原因以及该治疗方法的临床疗效。结果 通过调查分析来看，导致产妇出血的原因包括子宫收缩乏力、瘢痕子宫、胎盘黏连、贫血、血小板减少症、前置胎盘或宫颈和软产道损伤，因以上因素而导致的出血产妇例数分别为11例、14例、13例、10例、7例、6例、2例，出血量均有较大的差异。其次，治疗有效61例，有效率96.82%，其余2例患者存在1例重度贫血和1例胎盘早剥。结论 导致产妇分娩过程中出血的原因较多，应在治疗前做好孕期管理工作，降低风险发生率，同时在术中也应做好应急管理，以便于可第一时间进行输血治疗。
关键词： 产科；输血治疗；原因；疗效
Abstract
Objective: To analyze the causes and clinical efficacy of obstetric blood transfusion therapy. Methods: From May 2019 to March 2020, 63 cases of women delivered in the obstetrics department of our hospital were selected as the research object, of which 27 cases were cesarean delivery, and the remaining 36 cases were cesarean section. The major bleeding situation requires mathematical treatment. In this experiment, 63 women with postpartum hemorrhage should be retrospectively investigated to explore the causes of blood transfusion therapy and the clinical efficacy of the treatment method. Results: According to the investigation and analysis, the causes of maternal bleeding include uterine contraction weakness, scarred uterus, placental adhesions, anemia, thrombocytopenia, placenta previa or cervical and soft birth canal injuries. Maternal bleeding caused by the above factors The numbers were 11 cases, 14 cases, 13 cases, 10 cases, 7 cases, 6 cases, and 2 cases, and there were large differences in the amount of bleeding. Second, 61 cases were effective, with an effective rate of 96.82%. The remaining 2 patients had 1 case of severe anemia and 1 placental abruption. Conclusion : There are many causes of bleeding during maternal delivery. Pregnancy management should be done before treatment to reduce the risk rate. At the same time, emergency management should be done during the operation so that blood transfusion treatment can be performed in the first place.
Key words： Obstetrics; Blood Transfusion Therapy; Causes; Efficacy
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引用本文
宋成秀, 产科输血治疗原因及疗效评估[J]. 当代护理, 2020; 1: (3) : 357-359.