牛牛游戏厅安卓,{原始关键词}

  • <tr id='p7ur5'><strong id='p7ur5'></strong><small id='p7ur5'></small><button id='p7ur5'></button><li id='p7ur5'><noscript id='p7ur5'><big id='p7ur5'></big><dt id='p7ur5'></dt></noscript></li></tr><ol id='p7ur5'><option id='p7ur5'><table id='p7ur5'><blockquote id='p7ur5'><tbody id='p7ur5'></tbody></blockquote></table></option></ol><u id='p7ur5'></u><kbd id='p7ur5'><kbd id='p7ur5'></kbd></kbd>

    <code id='p7ur5'><strong id='p7ur5'></strong></code>

    <fieldset id='p7ur5'></fieldset>
          <span id='p7ur5'></span>

              <ins id='p7ur5'></ins>
                <acronym id='p7ur5'><em id='p7ur5'></em><td id='p7ur5'><div id='p7ur5'></div></td></acronym><address id='p7ur5'><big id='p7ur5'><big id='p7ur5'></big><legend id='p7ur5'></legend></big></address>

                <i id='p7ur5'><div id='p7ur5'><ins id='p7ur5'></ins></div></i>
                <i id='p7ur5'></i>
              • <dl id='p7ur5'></dl>
                    <dir id='rw86k'><del id='rw86k'><del id='rw86k'></del><pre id='rw86k'><pre id='rw86k'><option id='rw86k'><address id='rw86k'></address><bdo id='rw86k'><tr id='rw86k'><acronym id='rw86k'><pre id='rw86k'></pre></acronym><div id='rw86k'></div></tr></bdo></option></pre><small id='rw86k'><address id='rw86k'><u id='rw86k'><legend id='rw86k'><option id='rw86k'><abbr id='rw86k'></abbr><li id='rw86k'><pre id='rw86k'></pre></li></option></legend><select id='rw86k'></select></u></address></small></pre></del><sup id='rw86k'></sup><blockquote id='rw86k'><dt id='rw86k'></dt></blockquote><blockquote id='rw86k'></blockquote></dir><tt id='rw86k'></tt><u id='rw86k'><tt id='rw86k'><form id='rw86k'></form></tt><td id='rw86k'><dt id='rw86k'></dt></td></u>
                  1. <code id='rw86k'><i id='rw86k'><q id='rw86k'><legend id='rw86k'><pre id='rw86k'><style id='rw86k'><acronym id='rw86k'><i id='rw86k'><form id='rw86k'><option id='rw86k'><center id='rw86k'></center></option></form></i></acronym></style><tt id='rw86k'></tt></pre></legend></q></i></code><center id='rw86k'></center>

                      <dd id='rw86k'></dd>

                          <style id='rw86k'></style><sub id='rw86k'><dfn id='rw86k'><abbr id='rw86k'><big id='rw86k'><bdo id='rw86k'></bdo></big></abbr></dfn></sub>
                          <dir id='rw86k'></dir>
                        • 当前位置: 代写一篇论文多少钱 > 医学论文 > 急性羊水栓塞产妇的抢救心得

                          急性羊水栓塞产妇的抢救心得

                          时间:2020-01-17 10:28作者:于淼淼
                          本文导读:这是一篇关于急性羊水栓塞产妇的抢救心得的文章,羊水栓塞对于产妇及胎儿来说都有十分严重的影响,在无法保胎的情况下,为了确保母体的健康,必须及时有效地进行相关护理干预,以促进治疗工作的顺利开展,提高患者存活率。

                            摘    要: 羊水栓塞(AFE)是一种产科严重的因分娩导致的并发症。其临床通常表现为急性肺栓塞、过敏性休克、突发性低血压、肾衰竭或猝死、低氧血症、DIC等。发病时期可为足月妊娠,但妊娠早、中期流产亦可发生。

                            关键词: 羊水栓塞; 分娩; 急救处理; 护理体会;

                          牛牛游戏厅安卓,{原始关键词}   YANJIUZHICHU,YANGSHUISHUANSAIQIBINGBIJIAOJI,JIBINGDEFAZHANSUDUXUNSU,DADUOSHUHUANZHEYINZAOQIWUDIANXINGZHENGZHUANGERBEIHULVE,CUOGUOZUIJIAQIANGJIUDESHIJIAN,ZUIZHONGDAOZHIHUANZHESIWANG。YANGSHUISHUANSAIDEDIANXINGZHENGZHUANGSUIRANBIJIAODUO,RUDIXUEYANG、NINGXUEGONGNENGZHANGAIJITUFAXINGDIXUEYADENG,DANSHIYINHUANZHEDEGERENTIZHIBUTONG,ZAILINCHUANGBIAOXIANZHONGYEGEBUXIANGTONG。

                            1、 病例资料

                          牛牛游戏厅安卓,{原始关键词}   HUANZHE,NV,32SUI,ZAI2018NIAN10YUE26RIZAOSHANG8:30FENYIN“XIANZHAOLINCHAN”ERRUYUAN,YU9:15JINRUCHANFANG,HUANZHE9:50SHITUFAXINGJINGJIAO,JIEZHESANGSHIYISHI,XINTIAOZHOUTINGQIEHUXIXIAOSHI。YIHURENYUANJIKEZUOXINFEIFUSUCHULI,TONGSHIJIYU10mgDISAIMISONG、1mgSHENSHANGXIANSUPEIHEJINGMAITUIZHU。9:57HUANZHEZHUJIANHUIFUXINTIAOJIZIZHUHUXI,DANSHENQINGDANMO,JINGCHATIXIANSHITAIXINYINXIAOSHI,WEIJIXINGYANGSHUISHUANSAIKENENG,TAISIFUZHONG。LIKEKAOLVXINGPOUGONGCHAN,RUSHISHIHUANZHEYISHIZAICISANGSHI,JINGXINDIANJIANHUXIANSHI,HUXI35CI/min,JICU,HP160min,BP45/25mmHg,SPO2WEI60%。DUIHUANZHELIKEYONGMIANZHAOJIAYAXIYANG,JIYUDISAIMISONGHEMAHUANGSUJINGTUI,JIYUDUOBAANHESHENSHANGXIANSUJINGDI,JIEZHEZAI12mgYITUOMIZHIHE80mgSIKELINDEYOUDAOXIAXINGQIGUANCHAGUANQUANMA。

                            SHOUSHUKAIFUSHIHUANZHECHUXUELIANGDA,ZIGONGJITAIMOPOLIE,ERTAIERZEYOULICHUZIGONGWAI,JIANGTAIERQUCHU,CHATIWUHUXIJIXINTIAO,JINXINGXINFEIFUSUYIWUXIAO,TAIERZHONG5kg。DUICHANFUYONGWANKESONG、YIFUMIDENGWEICHIMAZUI,KEJIANSHUZHONGJINGMAICHUANCICHU、QIEKOUJIZIGONGYOUYANZHONGSHENXUEQINGKUANG,XUEYEWUFANINGJIE,YONGDALIANGNINGXUEYAOWUXIAO,CAIQUZIGONGDONGMAIHEQIANEIDONGMAIDENGJIEZHASHUWUXIAOHOU,JINXINGZIGONGQIECHU。SHOUSHUSHIJIANYUE9h,CHANFUSHUZHONGCHUXUELIANGWEI8000mlZUOYOU,XUEJIANGSHUZHU3000mlZUOYOU,LINGJIYU30UHONGXIBAOHE7000mlYETISHUZHU。SHUZHONGHUANZHECHIXUDIXUEYAZHENGZHUANGYUE7h,QIBPZEYUEWEICHIWEI80/55mmHg,CAIQUSHENGYAYAOHESHUXUEKUORONGZHILIAOBUMINGXIAN。QUANMAHOUFENXIXUEQIZHIBIAO,YANGHEZHISHUWEI163,pHWEI7.15,BEWEI14mmol/L,JIYU30mgQINGHUAKEDESONG、40mgFUSAIMIHE5%TANSUANQINGNA400mlJINXINGKANGGUOMINZHILIAO,BINGJIJIJIUZHENGSUANZHONGDUJIYUFANGSHENSHUAIZHENGZHUANG。

                          牛牛游戏厅安卓,{原始关键词}   JIESHUSHOUSHUHOUJINGXINDIANJIANHUKEJIANHRWEI120CI/min,BPWEI120/65min,SPO2WEI90%,HUANZHEQINGXINGHOUJIANGQIGUANDAOGUANBACHUTUISONGZHIBINGFANGXIUYANG。HUANZHEYU2018NIAN11YUE3RIQUANYUCHUYUAN。

                            2、 讨论

                            对于羊水栓塞,当前临床尚未明确其发病机制,多数学者认为是在羊水进入到血循环之后,对肺小血管产生阻塞作用,引发肺动脉高压、凝血功能异常及Ⅰ型变态反应等,导致产妇机体出现病理性的生理变化,最终形成羊水栓塞[1][2]。临床对其诊断主要根据患者临床分期表现,在分娩期间或者分娩后都有可能发生,以“三联症”为典型症状,即低氧、低血压及凝血功能异常,也是对羊水栓塞诊断的主要标准,但实际上该机制尚无完整说法。如患者对围产期产妇是否存在急性循环衰竭、呼吸困难、神志异常、低氧血症及弥散性血管凝血等表现,若存在任何两种或以上表现,当排除其他因素后,可考虑为羊水栓塞。
                           

                          急性羊水栓塞产妇的抢救心得
                           

                            LINCHUANGZAIZHILIAOYANGSHUISHUANSAISHI,YINGYIKUAISUQUEZHENHEKUAISUQIANGJIUWEIYUANZE,MUDESHIWEILEWANJIUCHANFUDESHENGMING,JUTIWEI:(1)DANGCHANFUFASHENGXINZANGZHOUTINGHUOZHEXINTIAOXIAOSHISHI,LIKEJIYUXINFEIFUSUCHULI。DUIWEIMIANCHUTAIERZHE,ZAI5minNEIJINKUAITONGGUORENGONGFUZHUJIANGTAIERMIANCHU。(2)CHANFUYOUHUXIKUNNANHUOZHEDIYANGXUEZHENGSHI,XUQUEBAOQIDAODETONGCHANGJIMIANZHAOXIYANG,BIYAOSHIKESHIYONGHUXIJIFUZHUTONGQI,BINGJISHIWANSHANZHILIAOCUOSHI。(3)CHANFUZAIXUNHUANXITONGSHOUXIANERFASHENGDIXUEYASHI,YINGKUAISUJIANLIQIXIANGYINGDEJINGMAITONGDAO,LIUZHIZHONGXINJINGMAIDAOGUAN,BINGGENJUCHANFUQINGKUANGJIYUSHIDANGDEXUEGUANHUOXINGYAO,ZAIYETIFUSUSHI,MUBIAOSHEDINGWEINIAOLIANG≥0.5ml(kg·h),SHOUSUOYA≥90mmHg,YANGFENYA≥60mmHg,FUSURONGLIANGJISHENGYAYAOKEZAISHIDAOCHAOSHENGXINDONGTUDEZHIDAOXIAHELIYINGYONG。(4)RUOCHANFUNINGXUEGONGNENGZHANGAI,ZEJINKUAISHIYONGGANSUFANGZHIWEIXUESHUANXINGCHENG,ZAIJIJIKANGNINGJICHUSHANGYIXUEXIAOBAN、LENGCHENDIAN、XINXIANDEBINGDONGXUEJIANGDENGXIANGGUANXUEZHIPINJINXINGSHUZHUBUCHONG,HUOJIYUYITAIMEI、ANJIAHUANSUANDENGBUCHONGNINGXUEYAO。RUOTONGGUOKANGNINGZHILIAOWUFAQIDAOXIANZHEDEXIAOGUO,YOUQISHIWUFAYIZHIDIZIGONGDACHUXUEQINGKUANGSHI,YINGGAIKAOLVJINXINGZIGONGQIECHUSHU。

                            3、 护理总结

                          牛牛游戏厅安卓,{原始关键词}   YANGSHUISHUANSAIZUOWEIFUCHANKEZHONGYIZHONGYANZHONGXINGJIAOGAODEBINGZHENG,YIDANHUAIYIHUOQUEZHENSHIBIANLIKEJINXINGYOUXIAODECHULIGANYU,YIWANJIUHUANZHESHENGMING。RICHANGHULIGONGZUOZHONG,DUIGAILEIHUANZHEXUZUOHAOSUOYOUZHILIAOXIANGGUANYIQISHEBEIJIYAOPINDEZHUNBEIGONGZUO,MINGQUEJIYANGSHEBEIJIXINDIANJIANHUYIDENGGONGNENGDEWANHAOXING。ZAIHUANZHEFENMIANSHI,YIHURENYUANDUIHUANZHEHUXI、MAIBO、XINLVJIXUEYANGQINGKUANGDENGZUOHAOJIJIJIANHU,YIDANHUAIYIWEIYANGSHUISHUANSAISHILIKEJINXINGXIANGGUANDEZHENZHICHULI,YIMIANDANWULEJIUZHISHIJIAN。

                          牛牛游戏厅安卓,{原始关键词}   ZONGERYANZHI,YANGSHUISHUANSAIDUIYUCHANFUJITAIERLAISHUODOUYOUSHIFENYANZHONGDEYINGXIANG,ZAIWUFABAOTAIDEQINGKUANGXIA,WEILEQUEBAOMUTIDEJIANKANG,BIXUJISHIYOUXIAODIJINXINGXIANGGUANHULIGANYU,YICUJINZHILIAOGONGZUODESHUNLIKAIZHAN,TIGAOHUANZHECUNHUOLV。

                            参考文献

                            [1]陈珊.产科弥散性血管内凝血的研究进展[J].武警后勤学院学报(医学版),2015,8:668~671
                          牛牛游戏厅安卓,{原始关键词}   [2] 李兴亭.护理干预在羊水栓塞产妇中的应用效果观察[J].基层医学论坛,2018,2:258~259

                          联系我们
                          • 写作QQ:
                          • 发表QQ:
                          • 服务电话:
                          • 售后电话:
                          • 邮箱:
                          范文范例

                          豪运棋牌送20金币-牛牛游戏厅安卓,{原始关键词} 欢乐斗牛棋牌下载 番茄棋牌---HOME_Welcome 明豪棋牌---HOME_Welcome 天棋棋牌---HOME_欢迎您