子宫动脉化疗栓塞术治疗胎盘植入合并产后出血的护理  

The Nursing Care of Uterine Artery Chemoembolization in Abnormal Placental Implantation Complicated with Postpartum Hemorrhage

作　　者：骆绮云[1] 陈耀庭[1] 张少璇[1] 谭绮尹[1] 

机构地区：[1]中山大学孙逸仙纪念医院,广东广州510120

出　　处：《中外医学研究》2012年第13期75-76,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨子宫动脉化疗栓塞术治疗胎盘植入合并产后出血的护理。方法:对23例确诊胎盘植入合并产后出血的患者进行经导管以甲氨蝶呤和明胶海绵颗粒行双侧子宫动脉化疗栓塞术,术后给予对症护理。结果:23例患者中,5例植入胎盘组织于介入治疗后完全自行排出,16例胎盘组织未排出者而行清宫术,2例行子宫次全切除术,21例保留了子宫。结论:子宫动脉化疗栓塞术对治疗胎盘植入合并产后出血具有较高的临床应用价值。Objective：To investigate the nursing care of uterine artery chemoembolization in abnormal placental implantation complicated with postpartum hemorrhage.Methods：To cure and nurse the patents those were confirmed with abnormal placental implantation complicated with postpartum hemorrhage in 23 cases,by using the methotrexate（MTX） and gelatin sponge particle bilateral uterine artery chemoembolization（UACE） after operations.Results：Among those 23 cases,placenta tissues were spontaneously discharged completely in 5 cases,uterine curettage was required in 16 cases due to retained placenta tissues during the operations,2 underwent subtotal hysterectomy and confirmed to be placenta percreta by pathology examination.Totally,21 patents reserved their uterus in operations.Conclusion：UACE is helpful and have great clinical practice value in curing abnormal placental implantation complicated with postpartum hemorrhage.

关 键 词：子宫动脉化疗栓塞术 胎盘植入 产后出血 

分 类 号：R473.71[医药卫生—护理学]