{"nowTime30":1711657464746,"lyBarModerator":null,"metaSearch":{"description":"一个女孩因骑带横梁的自行车急刹车,没来得及翻身下车,会阴部硌到了横梁上。结果过了两天,会阴部膨起一个芒果大的紫黑大包,这就是会阴部骑跨伤。\n\n 造成该类疾病的主要原因是,大阴唇的皮下脂肪层含有丰富的血管、淋巴管和神经,受伤后容易形成血肿。轻微的挫伤,或小的血肿一般不用特殊处理可自行吸收消退。受伤初期","keywords":"会阴部骑跨伤的护理与处理原则_洞医","title":"会阴部骑跨伤的护理与处理原则_洞医","channels":null},"identificate":{"id":"0300b4bddfaf11e6a61c00163e04584d","isDel":0,"createAt":1484985344390,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","realName":"赵玉","certifiedStatus":2,"phone":"111111111111","email":"2276635444@qq.com","hospitalId":"31c19c1b453011e69d4700163e005165","departmentId":"2000","illName":"","illId":"793a72a2bb5f11e6a61c00163e04584d","cardType":1,"cardImg":"http://01luntan.com/ly_img/1484985951761.jpg","idCardImg":"","identityType":2,"stop":0,"departmentName":"儿科","hospitalName":null},"canEdit":null,"adList":[],"lyBar":{"id":"2588","isDel":0,"createAt":1498550122101,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","name":"解放军总医院妇产科","type":101,"twoCode":null,"image":"","provinceId":"110000","cityId":"请选择","illId":null,"hospitalId":"14614","keyWord":"解放军总医院妇产科","totleTopic":37,"barDesc":null,"discussBarType":null,"metaSearch":"{\"description\":\"洞医为您提供:中国人民解放军总医院妇产科、北京301医院产科、301医院产科、病友的治疗经验等相关知识,帮您在求医路上不花一分冤枉钱。\",\"keywords\":\"中国人民解放军总医院妇产科_北京301医院产科_301医院产科_洞医\",\"title\":\"中国人民解放军总医院妇产科_北京301医院产科_301医院产科_洞医\"}","adInfo":null},"isLikeThisTopic":null,"lastTopics":[{"id":"5317","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"什么时候终止妊娠进行引产_终止妊娠的最佳时间","content":"
虽然我们还不知什么因素直接导致产兆出现,但有时为了胎儿的安全,需要采取一定的措施催促其出来,那么什么时候终止妊娠进行引产,终止妊娠的最佳时间什么时候呢
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预产期是根据末次月经,结合月经周期以及孕期超声估算的妊娠满40周的日子, 37周到42周之间出生的婴儿均属足月儿。早于37周的算早产儿,晚于42周的叫过期儿。图标为过期妊娠是胎儿窘迫、胎粪吸入、过熟综合征、新生儿窒息、围产儿死亡等的重要原因,产科医生要千方百计地杜绝这种情况发生,因此对某些迟迟没有动静的足月儿,采取引产方式催促其出来。
\n预产期有时不能准确地反映妊娠的生物年龄,而羊水减少和胎盘老化都是提示妊娠到期或过期的表现。胎盘老化后会影响胎儿的供血和供氧,胎儿缺氧会出现肛门括约肌扩张,进而出现胎粪污染羊水。如果羊水亦少,胎儿对宫缩的耐受力则进一步减弱,容易发生宫内窘迫。因此,即使未明显超过甚至还没到预产期,一旦发现羊水少或胎盘老化就需要提前引产。
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在无任何合并症的情况下,孕周超过预产期一周左右仍无临产征象,也需要引产。首先进行阴道检查,评定宫颈的条件。如果宫颈尚未成熟(即宫颈管未展平)可局部放置缓释前列腺素的栓剂或小水囊促其成熟,有的人因此直接进入临产状态,有的人则需要进一步催产素点滴。只要阴道分娩的意志坚决,而胎儿对催产素诱导的宫缩耐受良好,催产素可持续静脉点滴2-3天,如果仍不成功,还可人工破膜后继续点滴。
\n另外,合并妊娠期糖尿病,胎儿宫内生长受限,妊娠期高血压,甲状腺功能异常等内科合并症的孕妇更不宜超过预产期分娩,必要的情况下可能还需要考虑行剖宫产终止妊娠。
\n什么时候终止妊娠进行引产,终止妊娠的最佳时间的关键知识点:
\n1、预产期可能与妊娠体内的“生物钟”有所偏差,终止妊娠取决于胎盘、羊水和胎儿的生理功能性指标,不能刻意追求“顺其自然”。
\n2、妊娠合并糖尿病、高血压、甲亢等,原则上应在预产期前终止妊娠。
\n3、羊水太少时,进行剖宫产可能会更安全。
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新生命给家人带来巨大的喜悦,母子平安令亲属如释重负。但有时是脱离实际的一厢情愿,了解产褥期名词解释,产褥期是多少天,产褥期护理与注意事项将有助你实现彻底的母子平安。
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产褥期,是指产后全身各器官除乳腺外恢复或接近正常非孕状态所需的一段时间,通常规定为6周。在此期间,可能出现晚期出血,以产后1~2周发病最常见,最晚迟至6周后发病的。引起出血的常见原因是胎盘或胎膜残留,子宫胎盘附着面感染或复旧不全,最好的办法是清理宫腔和抗菌素治疗。少部分产妇还可能遭遇剖宫产子宫伤口裂开和滋养细胞肿瘤等罕见变故。
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产褥期还可能发生各种感染。由于分娩降低或破坏女性生殖道的防御功能和自净作用,增加了病原体侵入生殖道的危险,加之产妇体质虚弱,失血后贫血,先前有胎膜早破、合并慢性内科疾病、产程长、手术操作多等病史,都可能成为感染的诱因。感染可表现为外阴炎、阴道炎、侧切伤口感染裂开、宫颈炎、子宫内膜炎、子宫肌炎、盆腔炎、腹膜炎、血栓性静脉炎等多种形式,共同的表现是发热、疼痛和白细胞升高,至于具体部位的确定需要仔细的查体和借助B超等辅助检查。
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哺乳引发的乳房护理也是产后常见和重要的问题。无乳着急,下奶后乳房的剧烈胀痛又更痛苦,有人将按摩时的感受形容为“渣子洞的酷刑”,可见其折磨人的程度。但这是必须要做的工作,否则乳汁淤积容易诱发乳腺炎。另外,哺乳方法不当或婴儿口腔运动失调可引起乳头皲裂,严重者会出血,甚至诱发感染。乳头皲裂和乳汁淤积同时存在,则感染的机会倍增。
\n产褥期名词解释,产褥期是多少天,产褥期护理与注意事项的知识关键点:
\n1、正常恶露有血腥味但无臭味,持续的时间个人差异较大。但当产后出院后再次出血超过月经量或血性恶露淋漓不尽,则需要返院就诊。
\n2、晚期产后出血警惕绒癌和胎盘部位滋养细胞肿瘤。
\n3、产后感染的预防要从产前开始:
\n3.1、加强营养,增强体质,防止贫血;
\n3.2、临产前2个月避免性生活和盆浴;
\n3.3、及时治疗外阴、阴道炎,宫颈炎和慢性内科合并症。
\n4、只要发热,就该仔细检查,不可掉以轻心。几种症候要警惕:
\n4.1、局部伤口(会阴、腹壁)发红、疼痛或有脓性分泌物;
\n4.2、腹胀、腹痛,子宫体大而软,有压痛;
\n4.3、恶露多,粉红或脓性,有恶臭;
\n4.4、下腹坠或便意频频;
\n4.5、尿频、尿急、尿痛;
\n4.6、下肢疼痛、变粗或有压痛。
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胎儿脐带绕颈,其实那就象胎儿就地取材给自己做的一副项链,多数情况下无碍大局,胎儿脐带绕颈一周怎么办,脐带绕颈能顺产吗
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脐带围绕胎儿颈部、四肢或躯干者称为脐带缠绕,其中90%为脐带绕颈,以绕颈一周为最多见,占分娩总数的20%左右,这是一种非常常见的分娩期并发症。
\n发生脐带缠绕与脐带过长、胎儿过小、羊水过多及胎动过频等因素有关。而是否对胎儿造成影响与脐带缠绕的松紧度、圈数和脐带的长短有关。
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宫缩前,脐带绕颈除可以超声检查发现外,并无任何显性表现。临产后,脐带缠绕有可能影响胎头入盆,而出现产程延长或停滞或脐带自身受到牵拉,影响胎儿血循环而造成胎儿宫内缺氧。罕见的情况下,脐带受到的牵拉还会累及胎盘而造成胎盘早剥。
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胎儿脐带绕颈一周怎么办,脐带绕颈能顺产吗关键知识点:
\n1、脐带绕颈是常见分娩期并发症,多数情况胎儿可顺利经阴道分娩。
\n2、脐带绕颈是加强胎心监护指征,而非剖宫产的指征。
\n3、阴道试产过程中,密切产程观察和胎心监护是发现异常的有效手段,少数产妇可因脐带绕颈的继发危象转为剖宫产终止妊娠。
\n4、多圈的脐带缠绕建议选择剖宫产。
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妊娠分娩后,家庭新成员的到来本该皆大欢喜,但许多新上岗母亲会一反常态,萎靡不振,这就需要了解产后抑郁症的表现与症状_产后忧郁症怎么治疗
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1968年,名叫Pitt的医生提出产后抑郁症的概念,国外报道发病率高达30%左右,中国人对此还不甚熟悉和重视。
\n产褥期是妇女一生出现精神疾病的高发时期,其中以抑郁症最常见。多在产后2周内发病,产后4~6周症状明显,一般表现为心情压抑、沮丧、感情淡漠、不愿与人交流,甚至与丈夫也产生隔阂。有的产妇还表现对生活和家庭缺乏信心,流露出厌倦情绪,对事物反应迟钝,注意力不易集中,食欲、性欲均明显减退。抑郁症还可伴有头晕、头痛、胃部不适、心率加快、呼吸加快和便秘等症状。极个别产妇还出现思维障碍、迫害妄想,甚至出现伤婴或自杀行为。
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产后抑郁症通常需要治疗,除心理辅导外,还可服用不进入乳汁的抗抑郁药。本病预后良好,约70%的患者于1年内治愈,再次妊娠有20%的复发率,其下一代的认知能力可能受到一定影响。
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产后抑郁症的表现与症状_产后忧郁症怎么治疗关键知识点:
\n1、了解妊娠、分娩常识,克服紧张、恐惧心理,有利于预防产后抑郁症。
\n2、对有精神疾患家族史的孕妇,应定期密切观察,避免一切不良刺激,给予更多的关爱。
\n3、家人的关心和照顾不可替代,尤其是丈夫,对患病的妻子要耐心谦让,多多予以体谅
\n4必要的情况下请及时向精神心理科医生求助,一人稳定,全家安康。
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医学上称经过一年以上正常夫妻生活而未能妊娠的情况为“不孕症”。从未妊娠的称为原发不孕,曾有过妊娠而后又不孕的称为继发不孕。只有充分了解男性女性不孕的原因,才能有针对性的治疗。
\n怀孕的必要条件是:夫妇双方都要有发育正常且功能正常的生殖器官。男方要能生成正常精子,能进行正常性交,把精子送入妻子阴道内;女方要能正常排卵,输卵管功能正常,生殖道正常使精子能顺利进入输卵管内。
\n不孕的原因中,女性因素占60%:
\n①卵巢无排卵或排卵障碍;②输卵管阻塞或功能障碍;③子宫肌瘤、肌腺症,内膜炎、结核、内膜息肉、损伤,内膜功能不良等导致孕卵着床障碍;④宫颈管炎,宫颈粘液异常,抗精子抗体等阻碍精子运行;外阴、阴道发育异常使性交障碍,阴道炎影响精子功能;⑥免疫抗体阻碍受精和孕卵着床。
\n男性因素占30%:⑴生精障碍(少精、无精、死精等);⑵输精障碍(输精管阻塞、逆行射精等);⑶性功能障碍(勃起障碍、不射精等);⑷免疫因素(抗精子抗体使精液自凝)。男女双方因素占10%。在不孕夫妻中约有30%查不到明确病因,有人称之为“机能性不孕”,这其中可能存在缺乏性生活基本常识,缺乏生殖生理等方面基本知识等因素,也有盼子心切精神过度紧张而导致的“心理性不孕”。
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关键知识点
\n1、如未避孕,正常夫妻生活一年未孕即可着手查找原因了,特别是女性大龄的夫妇。
\n2、“怀不上孩子”时,男方存在问题的几率也不少,男方应主动先行检查,查精液是一件很简单的事,同时也可彰显您大丈夫的风度,别自己心里没什么底,先把事说到媳妇身上。
\n3、能吃、能喝、能干的男人不一定都能生孩子。
\n4、“婚检”未发现问题=/=怀孩子没问题
\n5、月经不正常,排卵障碍的可能性大,月经很正常则输卵管障碍可能性大。
\n6、生过小孩、做过流产、得过宫外孕、上过环的输卵管、子宫因素可能性大。
","barId":"2588","topicTypeId":null,"topicThemeId":"1015","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":3},{"id":"5720","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"悲剧:孕妇因疼痛难忍想剖腹产被家属多次拒绝 跳楼自杀身亡","content":"8月31日20时左右,陕西榆林市第一医院绥德院区住院部5楼,一名待产孕妇从楼上坠下身亡。榆林市第一医院绥德院区发表声明称,产妇马某于8月30日15时34分,“停经41+1周要求住院待产”入院。
“经初步诊断,马某第一胎41+1周待产,经检查发现胎儿头部偏大,阴道分娩难产风险比较大。”绥德院区妇产科二病区主任霍军伟接受华商报记者采访时表示,检查后医护人员就向产妇、家属说明情况,并建议剖宫产,然而家属坚持顺产,并在《产妇住院知情同意书》上签字。
在榆林市第一医院外科护理记录单上显示,17时50分,产妇向医护人员提出剖腹产的要求,医护人员征求家属意见时,家属称表示理解,但拒绝手术,继续观察。
“产妇由于疼痛两次走出分娩中心和家里说疼得不行,想剖腹产,但家属一直不愿意,坚持顺产。”霍军伟表示,将病人劝回待产室后,医护人员对病人进行安抚,随后再次建议家属剖腹产,但家属仍坚持顺产。20时左右,待产妇从5楼分娩中心坠下,抢救无效身亡。
9月4日下午,记者从绥德县公安局政工科获悉,经过现场勘察,经公安机关鉴定,初步排除他杀,属自己跳楼身亡事件。
关于此事,相关网友如下评论:
653552B898BB:这家属是杀人凶手,可以看出平日这女人在家里也没有话语权,两条命啊!
妇产科医师顾玲芬:自己的身体自己做主,中国也得改一改由别人签字同意做手术的习惯了。 在这种情况下,既然有些医学的指征,由由病人的要求,只是家属不同意,那么医院是否可以按病人的意愿来做?或者设立第三方做一个人证的机构,以防万一发生事故家属找麻烦?值得医界和法律界的探讨。
七郎侠客:当母亲有多么的痛苦!真是孩的生日娘的苦日!这位准妈妈走好,来生不要再嫁给这个无知丈夫!
一眯眯:我一直不明白,为什么手术要家属同意,如果关系不好不就是递了把刀给家属吗
网友994605(吉林省长春市):没生过孩子的请不要乱说话!没做过母亲更不要随意以已之腹度人心!你知道古代没有手术难产死亡率多高吗?你知道生孩子有多痛吗?你知道胎儿不正不及时手术会母子俱亡吗?你知道一个母亲为了保护孩子什么都愿意付出吗?这个年轻的妈妈之所以跳楼很大程度不是因为疼,更多的是伤心!
一个女孩因骑带横梁的自行车急刹车,没来得及翻身下车,会阴部硌到了横梁上。结果过了两天,会阴部膨起一个芒果大的紫黑大包,这就是会阴部骑跨伤。
\n\n
造成该类疾病的主要原因是,大阴唇的皮下脂肪层含有丰富的血管、淋巴管和神经,受伤后容易形成血肿。轻微的挫伤,或小的血肿一般不用特殊处理可自行吸收消退。受伤初期(24小时内),可采取会阴局部冷敷,促进血管收缩而止血;24小时后再酌情热敷,有利于促进血液循环而加速水肿或血肿的吸收。损伤较大的血管如果持续出血,就会导致血肿逐渐增大。当然,随着血肿囊内压的逐渐升高,破裂血管处的出血速度会有所下降,并有自行止血的可能性。稳定的大血肿靠自己吸收需要很长时间,在此期间,合并感染的机就会显著增加。因此,这种情况多数需要切开清创,一方面清除积血块,另一方面彻底检查消灭出血点。
\n随着汽车的普及,骑横梁自行车的机会已经非常少,但体育锻炼如单、双杠,平衡木等以及日常生活中的失误,如从椅背上跌落等,都会造成类似的“骑跨伤”。
\n会阴部骑跨伤知识的关键点:
\n1、冷敷热敷时机需要严格遵守。
\n2、外阴血肿需要清创的情况包括:
\n2.1、血肿较大,长时间不能吸收。
\n2.2、血肿有继续增大的趋势。
\n2.3、出现红、肿、发热等感染征象。
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