[孕妇急诊护理的特点]。

D Samson, F Illouz, C Badetti, J C Manelli
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引用次数: 0

摘要

了解与妊娠相关的生理变化对妊娠期患者的管理至关重要。心血管状态的特点是高血容量和心脏高输出量低阻力。增加的耗氧量和呼吸功导致缺氧的风险增加。胎儿的健康也必须考虑在内。在心肺骤停期间,妊娠子宫压迫主动脉腔静脉可能会损害心肺复苏术的效果,子宫移位是LMP后20周开始的常规措施。同样的因素涉及失血性休克,证明子宫移位和确保最佳氧运输和利用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Peculiarities of the emergency care in pregnant women].

Awareness of the physiological changes associated with pregnancy is essential for the management of patients during pregnancy. Cardiovascular status is characterised by hypervolemia and cardiac hyper-output with low resistance. Increased oxygen consumption and respiratory work result in an increased risk of hypoxia. Fetal well-being must also be taken into account. During cardiorespiratory arrest, aortocaval compression by the pregnant uterus may impair the efficacy of CPR and uterine displacement is a routine measure starting from 20 weeks after the LMP. The same factors are involved in hemorrhagic shock, justifying uterine displacement and the ensuring of optimal oxygen transport and utilisation.

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