妇产科诊疗常规及技术操作规程

XXXXX院 妇产科诊疗常规 及技术操作 规程 煤矿测量规程下载煤矿测量规程下载配电网检修规程下载地籍调查规程pdf稳定性研究规程下载 XXXXXXXX院 二〇一七年一月修订 目  录 第一章  产科疾病············································1 1、产前检查············································1 2、正常分娩·············································2 3、难产处理················································7 (1)产力异常···············································7 〔附〕子宫收缩环··········································7 (2)骨产道异常·············································11 (3)胎位及胎儿异常········································10 ①枕后位(枕横位) ········································10 ②颜面位·················································11 ③臀位···················································11 ④横位···················································12 ⑤巨大胎儿·············································13 ⑥无脑儿················································13 ⑦脑积水·················································14 4、妊娠病理···············································15 (1)妊娠高血压综合征······································15 (2)过期妊娠··············································18 (3)双胎··················································19 (4)胎儿宫内发育迟缓(IUGR )································20 (5)死胎··················································22 (6)羊水过少··············································22 (7)羊水过多··············································23 (8)前置胎盘··············································24 (9)胎盘早期剥离··········································26 (10)早产·················································27 (11)前次剖宫产············································28 (12)疤痕子宫·············································29 5、妊娠合并症·············································29 (1)妊娠合并贫血··········································29 (2)妊娠合并心脏病········································31 (3)妊娠合并心律失常······································33 (4)围产期心肌病··········································34 (J)妊娠合并卵巢肿瘤·······································34 (6)妊娠合并甲状腺功能亢进································35 (7)妊娠合并糖尿病········································36 (8)妊娠合并慢性肾炎······································37 (9)妊娠合并急性肾盂肾炎·······························38 (11)妊娠合并病毒性肝炎····································40 (12)妊娠合并急腹症·······································41 ①妊娠合并急性阑尾炎····································41 ②妊娠合并消化性溃疡急性穿孔·····························41 ③妊娠合并胆囊炎及胆石症·································42 ④妊娠合并肠梗阻······································42 ⑤妊娠合并急性胰腺炎·····································42 ⑥妊娠合并卵巢囊肿蒂扭转·································43 ⑦妊娠期急腹症手术应注意的问题···························43 6、产科手术·············································44 (1)剖宫产···············································44 (2)会阴切开缝合术········································46 (3)产钳术··································47 (4)胎头吸引术…………………………………………. (5)外倒转术··············································50 (6)臀位助产术············································51 (7)臀位牵引术·····································51 (8)宫颈探查术············································52 (9)人工剥离胎盘术········································52 (10)清宫术···············································53 (11)子宫腔纱布条填塞术···································53 (12)引产术·············································53 7、分娩期并发症··········································56 (1)先兆子宫破裂···································56 (2)子宫破裂············································56 (3)产后出血(PPH) ·····································57 (4)胎膜早破············································60 (5)脐带先露及脐带脱垂····································61 (6)胎儿宫内窘迫································61 (7)羊水栓塞········································62 8、产后疾病·········································63 (1)晚期产后出血······································63 (2)产褥感染·········································61 (3)产后尿储留·····································66 (4)乳胀与乳头毅裂·······································66 9、产科危重病人抢救(MICU)······························67 (1)心跳骤停、心肺复苏··································67 (2)产科抢救············································68 (3)呼吸衰竭抢救·········································69 (4)产科休克抢救········································69 (5)水、电解质平衡及酸碱平衡紊乱诊断与处理·················71 (6)急性子宫内翻症···································78