介入栓塞治疗产后大出血33例报道  

The value of postpartum hemorrhage with interventional embolization

作　　者：孙晓龙[1] 石红春[1] 

机构地区：[1]重庆市急救医疗中心介入放射科,400014

出　　处：《重庆医学》2011年第10期1002-1003,1005,共3页Chongqing medicine

摘　　要：目的探讨产后大出血急诊介入栓塞术的应用价值。方法收治33例产后大出血，出血量1500-3000mL，平均2000mL，出血原因为中央型前置胎盘、宫颈妊娠、产伤、胎盘粘连和滞留、宫缩乏力、妊娠高血压综合征（妊高征）、凝血功能障碍等，多数患者为复合性因素。经临床紧急抢救、输血、抗休克、清官、使用宫缩剂、止血剂、缝合和（或）阴道填塞等止血处理，难于控制出血者行急诊介入栓塞止血。结果33例患者全部栓塞成功，随访3个月至5年无再次大出血。结论急诊介入栓塞术治疗妇产科大出血患者安全、有效，无严重并发症，值得推广使用。Objective To evaluate selective arterial embolization to treat massive postpartum hemorrhage. Methods Thirty- three patients with ages of 23 48 years undergoing severe postpartum hemorrhage,were due to centrol placenta previa,uterine atony,birth canahrauma,placenta accretion,cervical pregnancy etc. All of the patients had lost a volume of blood about 1 500 mL to 3 000 mL while the hemorrhage could not be controlled with vaginal packing-and administration of uterotonie drugs,Urgent hemostatic embolization was performed for them. Results The technical success was achieved in all 33 patients. No recurrent bleeding occurred during a follow of 3 months to 5 years. Conclusion The emergency bilateral uterine arterial cheooembolization is a safe and effective treatment for massive hemorrhage with no serious complications, therefore, this technique is worth being used in clinical practice.

关 键 词：产后出血 血管造影术 急诊介入栓塞止血 子宫动脉 

分 类 号：R714.461[医药卫生—妇产科学]