摘要
脐带脱垂是指脐带脱出于胎先露的下方,属于产科中发生率较低、但极其凶险的一种并发症,其发生概率为0.4%-10%。一旦发生,脐带受压可引起血运阻断、造成胎儿缺血缺氧的情况,若在短时内无法及时娩出胎儿,可能导致胎儿在5-8分钟内发生严重窒息而宫内死亡,而急救剖宫产则是抢救胎儿生命安全、降低产妇产后并发症的一种重要手段,虽然其抢救成功率较高,但抢救成功后新生儿因受宫内缺氧所致,在分娩出后的死亡率同样较高。因此,及时发现并以最短的时间内完成抢救才能保障产妇与新生儿的安全。
关键词: 脐带脱垂;急症剖宫产;急救;救治流程;急救护理
Abstract
Umbilical cord prolapse refers to a complication of the umbilical cord from being exposed first, which belongs to a low incidence in the obstetrics, but extremely dangerous, with a probability of 0.4%-10%. Once, the pressure of the umbilical cord can cause blood transportation and cause the fetus ischemia and hypoxia. If the fetus cannot be delivered in time in a short time, the fetus may cause severe suffocation within 5-8 minutes. The emergency cesarean section is an important means to rescue the safety of the fetus and reduce the post -maternity complications. Although its rescue success is high, the newborn after the rescue is caused by hypoxia in the palace. The mortality rate is equally high. Therefore, it can be found in time and complete the rescue in the shortest time to ensure the safety of mothers and newborns.
Key words: Umbilical cord prolapse; emergency cesarean section; first aid; treatment process; emergency care
参考文献 References
[1] 曾红依. 1例脐带脱垂剖宫产手术配合护理体会[J]. 中西医结合心血管病电子杂志,2020,8(7):186.
[2] 曹晓辉,蒋丽萍,许建娟,等. 脐带脱垂的临床特征与妊娠结局分析[J]. 重庆医学,2020,49(3):467-470.
[3] 梁爱玲. 脐带脱垂23例的发生原因及应急处理分析[J]. 临床医药文献电子杂志,2020,7(51):45-46.
[4] 肖立华. 分析脐带脱垂的原因及紧急处理后的护理要点[J]. 世界最新医学信息文摘(连续型电子期刊),2018,18(3):203-204.
[5] 桂载弟,徐红艳,华九月. 急性显性脐带脱垂产妇急诊剖宫产术5例的护理体会[J]. 护理与康复,2018,17(9) : 91-93.
[6] 王翠兰,杨秋红,杨静,等. RRT模式下21例显性脐带脱垂孕妇临床资料总结分析[J]. 现代妇产科进展,2019, 28(3):209-211.
[7] 崔秀凤,崔超,杨萍,等. 手术室整体护理对剖宫产术后 产妇护理风险术后疼痛及母婴安全的影响[J]. 临床医药文献电子杂志,2020,7(83):93,99.
[8] 蔡小堃,代欣瑶,毛颖异,等. 生命早期脐带血中营养成分的含量与作用研究进展[J]. 营养学报,2022, 44(1): 95-101.
[9] 张红萍,王叶平. 脐带脱垂诊治中的过错防范建议[J]. 中华医学信息导报,2021,36(5):14.
[10] 孙美玉,姜伟,王冬颖. 189例隐性脐带脱垂临床分析[J]. 中国现代药物应用,2020,14(11):26-28.
[11] 郝伟,王腾. 紧急剖宫产决定手术至胎儿娩出时间对母儿结局影响研究[J]. 中国实用妇科与产科杂志,2021,37(6):673-678.
[12] 徐学军,包晓红,向彩云. 决定紧急剖宫产术至胎儿娩出间隔时间的相关因素及对新生儿预后的影响[J]. 中国妇幼保健,2021,36(9):2080-2083.
[13] Lecerf M , Vardon D , Morello R , et al. [Can we do a cesarean section in less than 30min in unsuitable premises in order to follow the recommendations of the ACOG?][J]. Journal de Gynécologie Obstétrique et Biologie de la Reproduction, 2013, 42(4):393-400.
[14] 居晓庆,汪云,钟韵,等. 快速反应团队5min紧急剖宫产在降低决定手术至胎儿娩出的时间间隔中的价值分析[J]. 实用临床医药杂志,2019,23(14):64-67.