【摘要】 目的:总结在凶险型前置胎盘合并胎盘植入剖宫产术前行腹主动脉球囊阻断的产科病房、介入手术室、产科手术室的护理经验。方法:2015年3~12月对20例凶险型前置胎盘合并胎盘植入患者行剖宫产前腹主动脉球囊阻断以减少术中出血,制定并严格执行围术期全面护理措施,包括术前病房护理、介入手术室护理、剖宫产术中护理、术后病房护理等,同时观察患者术中出血量、是否保留子宫、并发症及新生儿等情况。结果:20例患者接受围术期全面护理干预后情绪稳定,生命体征平稳,均无术后并发症、晚期产后出血等情况发生,术中出血量600~2000 ml,平均(1141.67±452.2)ml。16例患者成功保留子宫,4例患者因子宫壁受累较重行子宫次全切术。新生儿Apgar评分:即刻评分15名为10分,5名为9分,1名为7分。结论:凶险型前置胎盘合并胎盘植入患者行腹主动脉球囊预置剖宫产术治疗效果明显,但还需要围术期各学科全面护理干预措施进行密切配合。更多还原

【Abstract】 Objective: To summarize the nursing experience in maternity ward,interventional operation room and obstetric operation room of abdominal aorta balloon block before pernicious placenta previa complicated with placenta accrete. Methods: Abdominal aorta balloon was conducted to reduce bleeding during operation for 20 patients with pernicious placenta previa complicated with placenta accrete before receiving cesarean delivery from March to December2015,perioperative comprehensive nursing measures were established and taken,including pre-operation ward nursing,interventional operation room nursing,nursing during cesarean delivery and post-operation ward nursing etc.,and meanwhile,the patients were observed in bleeding amount,retaining uterus or not,complications and newborns’ condition. Results: After receiving the perioperative comprehensive nursing intervention,the 20 patients had stable mood and smooth vital sign,without post-operation complications and advanced postpartum hemorrhage,with bleeding amount of 600-2000 ml during operation,( 1141. 67 ± 452. 2) ml on average. 16 patients had their uteruses retained successively,4 patients received subtotal hysterectomy due to serious uterine wall involvement. Apgar scores of newborns: immediate scoring,10 within 15 min,9 within 5min and 7 within 1min. Conclusion: The abdominal aorta balloon preset cesarean delivery for patients with pernicious placenta previa complicated with placenta accrete had a significant treatment effect,but it required the close cooperation of multi-discipline comprehensive nursing intervention measures in the perioperative period.更多还原