latepregnancybleeding晚期妊娠流血-展示頁
2024-10-04 07:57本頁面
【正文】 Image: :// /2024/02/ 第七頁，共二十九頁。 Initial Management of Significant Bleeding ? Hemodynamic instability – Hypotension – Tachycardia ? IV fluids ? Consider blood products/transfusion ? Lab tests – Hematocrit, platelets, fibrinogen, coagulation, blood type, and antibody screen ? Continuous fetal monitoring ? Consider emergent cesarean section 第五頁，共二十九頁。 Importance ? Maternal Risks – Acute hemorrhage – Operative delivery ? Fetal Risks – Uteroplacental insufficiency – Premature birth ? Key Points – Identify the cause – Timely intervention 第三頁，共二十九頁。第一頁，共二十九頁。 第二頁，共二十九頁。 Initial Assessment ? History – Amount of bleeding, recent intercourse or digital exam, severity of pain, trauma ? Physical exam – Vital signs, speculum, digital only if no placenta previa, may note cervicitis/ polyp/cancer ? Ultrasound – Evaluation for placenta previa ? Period of observation 第四頁，共二十九頁。 Placenta Previa ? Complete –
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