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目的:探讨与分析异位妊娠急诊患者的抢救措施与临床诊断方案。方法:将2011年3月~2013年3月于该院急诊科室接受治疗的60例异位妊娠患者作为研究对象,回顾性分析其临床资料,探讨其抢救与治疗过程。结果:60例急诊异位妊娠患者在接受抢救及手术治疗后,临床症状均得到了不同程度的改善,所有病例在腹腔镜检查确诊后均采取对应性的手术治疗,患者在手术过程中均有一定的出血现象,其中1例异位妊娠患者术中出血量最多,为(961.3±104.5)ml,对此患者进行了成功的急诊治疗。所有患者均痊愈出院,其中输卵管壶腹部异位妊娠患者手术治疗时间最短,出血量最低,与输卵管峡部患者对比差异显著(t=4.312,P<0.05)。结论:为提高异位妊娠患者抢救成功率,需抓住救治时机,迅速进行止血处理,建立输血通道,补充血容量,并迅速确诊,进行手术治疗。
Objective: To investigate and analyze the emergency measures and clinical diagnosis of ectopic pregnancy patients. Methods: From March 2011 to March 2013, 60 patients with ectopic pregnancy who were treated in the emergency department of the hospital from March 2011 to March 2013 were retrospectively analyzed and their rescue and treatment procedures were discussed. Results: In 60 cases of emergency ectopic pregnancy patients undergoing salvage and surgical treatment, clinical symptoms have been improved to varying degrees, all cases were confirmed by laparoscopy after the corresponding surgical treatment, the patients in the course of surgery have A certain bleeding, including 1 case of ectopic pregnancy patients with the largest amount of bleeding, (961.3 ± 104.5) ml, the patient had a successful emergency treatment. All patients were cured and discharged, of which tubal ampullary ectopic pregnancy patients with the shortest surgical treatment, the lowest amount of bleeding, compared with tubal isthmus patients (t = 4.312, P <0.05). Conclusion: In order to improve the success rate of rescue in patients with ectopic pregnancy, it is necessary to seize the timing of treatment, promptly stop bleeding, establish blood transfusion channel, supplement blood volume, and quickly diagnosed and operated on.