1、The Third Affiliated Hospital of Guangzhou Medical University广州医科大学附属第三医院罗太珍 高危妊娠患者的识别与安全管理The identification and safety management of high-risk pregnancyThe Third Affiliated Hospital of Guangzhou Medical University12高危妊娠的预警与识别危急重症的安全转运主要内容 3高危妊娠特殊用药的管理The Third Affiliated Hospital of Guangzhou Medi
2、cal University高危妊娠high-risk pregnancy凡妊娠期有某种并发症、合并症或致病因素,可能危害孕妇、胎儿与新生儿或导致难产者The Third Affiliated Hospital of Guangzhou Medical University高危妊娠的预警与识别The Third Affiliated Hospital of Guangzhou Medical University预警与识别The Third Affiliated Hospital of Guangzhou Medical University围生期保健工作质量 医院发展卫生状况经济 孕产妇死亡
3、率文化评估的重要性对危重症孕产妇进行正确的病情评估,才能及时识别及进行有效的救治,有利于降低孕产妇的死亡率。The Third Affiliated Hospital of Guangzhou Medical University评 估从护理的角度研究诊断病人对现存或潜在健康问题的生理、心理及社会等方面反应的基本理论、基本技能和临床思维方法的学科。评估:分析判断分析:医学基础知识,临床思维的方法程序,综 合分析判断:病情等级The Third Affiliated Hospital of Guangzhou Medical University临床表现 1辅助检查3生理生化变量2心理因素4评估
4、内容The Third Affiliated Hospital of Guangzhou Medical University生理生化变量体温 无明显变化血压 收缩压轻微,舒张压510mmmg呼吸 1422次/分心率 65110次/分PH值 无显著变化Na+ 无显著变化K+ 无显著变化神经系 无显著变化合 无显著变化The Third Affiliated Hospital of Guangzhou Medical University生理生化变量血 无显著变化血 0.8ng/dl ,0.5血 2.516.8umol/L2733g/L040, 血 无显著变化血 维 50%,1.56.0 512 109/L, 压 0.33110.3936,