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中华产科急救电子杂志 ›› 2023, Vol. 12 ›› Issue (01) : 60 -63. doi: 10.3877/cma.j.issn.2095-3259.2023.01.014

产科临床管理

产后出血救治中的表单化管理
杨怡珂, 王妍(), 赵扬玉   
  1. 100191 北京大学第三医院妇产科
  • 收稿日期:2022-09-05 出版日期:2023-02-18
  • 通信作者: 王妍
  • 基金资助:
    国家重点研发计划(2021YFC2701501/2021YFC2701505)

Form-based management of postpartum hemorrhage treatment

Yike Yang, Yan Wang(), Yangyu Zhao   

  • Received:2022-09-05 Published:2023-02-18
  • Corresponding author: Yan Wang
引用本文:

杨怡珂, 王妍, 赵扬玉. 产后出血救治中的表单化管理[J]. 中华产科急救电子杂志, 2023, 12(01): 60-63.

Yike Yang, Yan Wang, Yangyu Zhao. Form-based management of postpartum hemorrhage treatment[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2023, 12(01): 60-63.

产后出血一直是世界范围内孕产妇死亡的主要原因。根据2014年世界卫生组织(Word Health Organisation, WHO)的调查,发达国家和发展中国家因产后出血导致孕产妇死亡的发生率分别为16%和27%[1],2015年全球孕产妇死亡人数为275 000例,其中>1/3为产后出血所致[2]。在美国,11%的孕产妇死于产后出血[3]。而事实上,有54%~93%的出血导致的孕产妇死亡是可以避免的[4]。有研究发现,医务人员对分娩和产后的出血量估计不准确是导致产后出血治疗延迟的主要原因[5] ;此外,产后出血一旦发生,可能出血极其汹涌,需要争分夺秒、快速启动多学科救治团队,临床实践中可能会出现监测或治疗措施不能迅速到位而影响救治效果。因此,将产后出血救治流程进行规范化、系统化的表单化管理,有利于救治过程中快速提醒,也有益于病历讨论和总结经验教训,以实现救治能力的不断提高。我院作为北京市危重孕产妇转诊中心,每年需参与多次产后出血的危重抢救,我们总结实践中积累的经验,绘制了简单实用的产后出血记录核查表(图1)。该表格不仅用于记录出血抢救过程,还含有产后出血高危因素、出血救治核查等内容,对产后出血的预防、识别、准备、操作均有所帮助。

图1 产后出血记录核查表
图2 产后出血抢救包物品
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