分娩期子宫破裂一例：产房快速反应团队的处理

doi:10.3877/cma.j.issn.2095-3259.2015.02.014

中华产科急救电子杂志 ›› 2015, Vol. 04 ›› Issue (02) : 119 -121. doi: 10.3877/cma.j.issn.2095-3259.2015.02.014

所属专题：经典病例；经典病例；文献；

病例报告

分娩期子宫破裂一例：产房快速反应团队的处理

贺芳¹, 匡丽云¹, 陈敦金¹^,^†(

)

^1. 510150　广州医科大学附属第三医院妇产科　广州重症孕产妇救治中心

收稿日期:2015-02-28 出版日期:2015-05-18
通信作者: 陈敦金

A case report of the management of uterine rupture during labor by rapid respond team on

Fang He¹, Liyun Kuang¹, Dunjin Chen¹()

Received:2015-02-28 Published:2015-05-18
Corresponding author: Dunjin Chen

全文 ( ) 下载PDF ( ) 导出引用

引用本文：

贺芳, 匡丽云, 陈敦金. 分娩期子宫破裂一例：产房快速反应团队的处理[J]. 中华产科急救电子杂志, 2015, 04(02): 119-121.

Fang He, Liyun Kuang, Dunjin Chen. A case report of the management of uterine rupture during labor by rapid respond team on[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2015, 04(02): 119-121.

图1 快速反应团队操作流程图

表1 瘢痕子宫经阴道分娩早期预警参数

子宫压痛

胎心改变

异常产程或无进展

宫腔内压力消失或触摸不到宫缩

局部严重腹痛

阴道出血

产妇低血容量性休克

表1 瘢痕子宫经阴道分娩早期预警参数

[1]	Ronel D, Wiznitzer A, Sergienko R, et al. Trends, risk factors and pregnancy outcome in women with uterine rupture[J]. Arch Gynecol Obstet, 2011，285(2): 317-321.
[2]	Harper LM, Cahill AG, Roehl KA, et al. The pattern of labor preceding uterine rupture[J]. Am J Obstet Gynecol，2012，207(3): 210.e211-216.
[3]	Sharek PJ, Parast LM, Leong K, et al. Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a Children′s Hospital[J]. JAMA, 2007, 298(19): 2267-2274.
[4]	American College of Obstetricians and Gynecologists Committee on Patient Safety and Quality Improvement. ACOG Committee Opinion No. 487: Preparing for clinical emergencies in obstetrics and gynecology[J]. Obstet Gynecol, 2011，117(4): 1032-1034.
[5]	宋杰，陈敦金．建立产科快速反应团队在持续改进产科质量中的作用[J]．中国实用妇科与产科杂志，2012，28(2):149-151.
[6]	Callaghan WM, Creanga AA, Kuklina EV. Severe maternal morbidity among delivery and postpartum hospitalizations in the United States[J]. Obstet Gynecol, 2012，120(5): 1029-1036.
[7]	Liang J, Dai L, Zhu J, et al. Preventable maternal mortality: geographic/rural-urban differences and associated factors from the population-based Maternal Mortality Surveillance System in China[J]. BMC Public Health, 2011，11: 243.
[8]	Devita MA, Smith GB. Rapid response systems: Is it the team or the system that is working[J]? Crit Care Med, 2007, 35(9): 2218-2219.
[9]	Karen S, Jennifer L, Tracy C，et al. Improving Obstetric Rapid Response Teams: Multidisciplinary Simulation Training Using the Plan-Do-Study-Act Cycle[J]. J Obstet Gynecol Neonatal Nurs，2013，42(Suppl):S56-S57.

No related articles found!

阅读次数

全文

摘要

选择文件类型/文献管理软件名称

选择包含的内容

A case report of the management of uterine rupture during labor by rapid respond team on

模态框（Modal）标题

选择文件类型/文献管理软件名称

选择包含的内容

A case report of the management of uterine rupture during labor by rapid respond team on