Ectopic pregnancy hemorrhagic shock led to the first aid and Nursing.docVIP

Ectopic pregnancy hemorrhagic shock led to the first aid and Nursing [Keywords:] ectopic pregnancy shock Care Often called an ectopic pregnancy ectopic pregnancy, pregnancy outside the uterus, cervical pregnancy is not included, is a common acute abdomen of Obstetrics and Gynecology, if not timely rescue, can cause abdominal bleeding, acute life-threatening hemorrhagic shock , recently showed a clear upward trend in incidence [1]. our hospital since May 2006 ~ May 2008 were treated ruptured ectopic pregnancy 68 patients with hemorrhagic shock, now its rescue and perioperative nursing summarized as follows . 1 Data and methods 1.1 General Information 68 patients in this group, age (33.6 + -4.2) years and 56 cases of pregnancy tubal ampulla, accounting for 82.35%, 2 cases of isthmic pregnancy, accounting for 2.94%, the umbrella Department of pregnancy in 8 cases, accounting for 11.76%, uterine rudimentary horn pregnancy 1 case, 1.47%, 1 case of abdominal pregnancy, accounting for 1.47%. hemorrhage of 18 cases of 800ml or less, accounting for 26.47%, blood loss 800 ~ 2 000ml 40 cases, accounting for 58.82%, the amount of bleeding 2 100 ~ 4 500ml 10 cases, accounting for 14.71%. 1.2 Treatment 68 patients were surgical repair, patients admitted to hospital within 15 ~ 30 min after entering the operating room for surgery. The patient in the conventional continuous epidural anesthesia into the abdomen, the line of excision of ectopic pregnancy. 2 treatment The additional blood volume, such as rescue surgery to remove the cause, patients were cured, with no complications. 3 First aid and nursing preoperative 3.1 with the rescue quickly determine the condition and Rapid onset of ectopic pregnancy, dangerous condition, the nurse had stopped by for obvious abdominal pain, vaginal bleeding and in shock performance, should quickly determine the possibility of rupture of ectopic pregnancy. Immediate measurement of blood pressure, pulse, breathi