晚期产后出血的诊治  

Diagnosis and treatment for postpartum hemorrhage in late stage

作　　者：高航[1] 金镇[1] 

机构地区：[1]中国医科大学附属盛京医院妇产科,辽宁沈阳110004

出　　处：《中国实用妇科与产科杂志》2009年第2期114-116,共3页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：胎盘和胎膜残留是晚期产后出血最常见的原因,还可发生在蜕膜残留、子宫胎盘附着面感染或复旧不全、子宫切口感染或裂开等。在一般支持治疗基础上,根据具体病情可采取子宫收缩药物、清宫术、经皮子宫动脉造影和栓塞术、开腹清创缝合或结扎动脉,必要时切除子宫。Main causes for late postpartum hemorrhage are retained placental and fetal membrane fragments, decidua residue, the infection of fascia adherens between uterus and placenta, subinvolution of uterus, and infection or split of uterine incision of cesarean section. On the basis of supportive therapy, the treatment for these patients are mainly by using oxytocin, cleaning of retained intrauterine fragments, percutaneous uterine arteriography and uterine arterial embolization, laparotomy of debridement and suturing or ligation of arteries, and hysterectomy when nessesary.

关 键 词：晚期产后出血 胎盘残留 

分 类 号：R71[医药卫生—妇产科学]