妇产科诊疗常规与技术操作规程.doc

妇产科诊疗常规与技术操作规程.doc

《妇产科诊疗常规与技术操作规程.doc》由会员分享，可在线阅读，更多相关《妇产科诊疗常规与技术操作规程.doc（123页珍藏版）》请在冰豆网上搜索。

XXXXX院

妇产科诊疗常规

及技术操作规程

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

第二章妇科疾病········································80

1、外阴病变·······································80

（1）外阴痰痒症········································80

（2）硬化性萎缩性苔鲜····································80

（3）增生性营养障碍·······································81

（4）前庭大腺炎·································81

（5）外阴溃疡··········································81

（6）外阴创伤·······································82

2、女性生殖器炎症·······································82

（1）滴虫性阴道炎···································82

（2）霉菌性阴道炎·······································83

（3）老年性阴道炎··········································83

（4）非特异性阴道炎························