1例阴道分娩产妇阔韧带血肿并发失血性休克的护理

doi:10.3761/j.issn.0254-1769.2025.08.011

摘要/Abstract

摘要：

总结1例剖宫产术后再次妊娠阴道分娩产妇因阔韧带血肿引发失血性休克的护理经验。护理要点：隐匿性产后出血的识别与急救；精准输血管理与容量复苏；实施目标导向的体温管理策略；腹腔填塞术后的观察与护理；母婴分离时的母乳喂养支持；全周期、分阶段的心理护理。经过积极的治疗与护理，患者术后10 d康复出院。

关键词: 剖宫产术后阴道分娩, 阔韧带血肿, 腹腔填塞, 产后出血, 产科护理

Abstract:

To summarize the nursing experience of a case involving hemorrhagic shock caused by broad ligament hematoma in vaginal delivery after cesarean section. Nursing points include：recognition and first aid for occult postpartum haemorrhage；precise management of blood transfusion and volume resuscitation；objective-oriented temperature management strategy；postoperative observation and care for abdominal packing；provision of breastfeeding support in case of separation of mother and child；comprehensive psychological nursing support throughout all stages. Following active treatment and nursing interventions，the patient was discharged 10 d after surgery.

Key words: Vaginal Delivery after Cesarean Section, Broad Ligament Hematoma, Abdominal Packing, Postpartum Hemorrhage, Obstetrical Nursing

徐晓佩, 李秋芳, 胡小黎. 1例阴道分娩产妇阔韧带血肿并发失血性休克的护理[J]. 中华护理杂志, 2025, 60(8): 968-971.

XU Xiaopei, LI Qiufang, HU Xiaoli. Nursing care of a parturient with broad ligament hematoma complicated with hemorrhagic shock in vaginal delivery[J]. Chinese Journal of Nursing, 2025, 60(8): 968-971.

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