子宫瘢痕妊娠的临床护理(1)
【摘要】 目的 探讨剖宫产术后子宫瘢痕妊娠(CSP)的不同病情观察及药物治疗和手术治疗的护理要点。方法 收集本院2009年10月~2011年2月收治的18例CSP病例，其中2例因误诊早孕、刮宫后出血不止急行宫腔镜检查+妊娠病灶清除术；4例行双侧子宫动脉栓塞术；12例行米非司酮、米索前列醇加肌注甲氨蝶呤药物治疗。结果 18例患者无一例因大出血而行子宫切除术,均保留了生育功能。结论 根据CSP病情及不同处理方法,制定针对性的护理对策,精心护理,密切观察病情,及时发现异常情况对症处理,可有效预防和减少剖宫产瘢痕妊娠的并发症,减少子宫切除率,提高剖宫产瘢痕妊娠患者的生活质量。
【关键词】 瘢痕妊娠； 药物流产； 动脉栓塞术； 护理
Nursing of cesarean scars pregnancy LI Yingying，GON Guifang，XIE Xia.Guangzhou Women and Childrens Medical Center,Guangzhou 510623，China
【Abstract】 Objective To investigate the key points of nursing on the observation of different patients condition and drug therapy and surgical therapy for cesarean scars pregnancy(CSP).Methods To collect the information of 18 patients with CSP who were received and cured in our hospital,among them,2 patients received the emergency hysteroscopy and pregnancy focus clearance because of the bleeding after curettage which was related to the misdiagnosis of early pregnancy.4 patients received bilateral uterine arterial embolization.12 patients received the drug treatment by using Misfepristone,Misoprostol,and intramuscular injection of methotrexate.Results None of 18 patients received hysterectomy casued by massive haemorrhage,they all retained reproductive function.Conclusion Working out the pertinent nursing plan according to the patients condition and different treatments,taking intensive care of them,and observing the patients condition carefully,to find out patients abnormalities timely and take the measure symptomatically.all the above measures could prevent the complication of CSP from happening,reduce the rate of hysterectomy ,and improve the patients life quality. ......
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【关键词】 瘢痕妊娠； 药物流产； 动脉栓塞术； 护理
Nursing of cesarean scars pregnancy LI Yingying，GON Guifang，XIE Xia.Guangzhou Women and Childrens Medical Center,Guangzhou 510623，China
【Abstract】 Objective To investigate the key points of nursing on the observation of different patients condition and drug therapy and surgical therapy for cesarean scars pregnancy(CSP).Methods To collect the information of 18 patients with CSP who were received and cured in our hospital,among them,2 patients received the emergency hysteroscopy and pregnancy focus clearance because of the bleeding after curettage which was related to the misdiagnosis of early pregnancy.4 patients received bilateral uterine arterial embolization.12 patients received the drug treatment by using Misfepristone,Misoprostol,and intramuscular injection of methotrexate.Results None of 18 patients received hysterectomy casued by massive haemorrhage,they all retained reproductive function.Conclusion Working out the pertinent nursing plan according to the patients condition and different treatments,taking intensive care of them,and observing the patients condition carefully,to find out patients abnormalities timely and take the measure symptomatically.all the above measures could prevent the complication of CSP from happening,reduce the rate of hysterectomy ,and improve the patients life quality. ......
您现在查看是摘要页，全文长 4727 字符。