宫腔填塞纱条加卡前列素氨丁三醇在凶险型前置胎盘中的应用  

Application of Packing With Ribbon Gauze and Carboprost Tromethamine to Prevent Hemorrhage Caused by Pernicious Placenta Previa During C-section

作　　者：高湛[1] 

机构地区：[1]郑州大学第五附属医院妇产科,450002

出　　处：《中国实用医药》2012年第24期32-33,共2页China Practical Medicine

摘　　要：目的探讨凶险型前置胎盘剖宫产术中出血的有效治疗措施。方法对2009年12月至2011年10月在我院使用宫腔填塞纱条加卡前列素氨丁三醇治疗的凶险型前置胎盘剖宫产术中大出血病例13例进行回顾性分析。结果凶险型前置胎盘剖宫产术中应用卡前列素氨丁三醇加子宫腔填塞纱条10例获成功,24h后纱条经阴道顺利取出,无1例感染或晚期产后出血发生;2例患者因胎盘完全植入而行子宫动脉栓塞;1例患者行子宫切除,无产妇死亡病例。结论宫腔填塞纱条加卡前列素氨丁三醇是治疗凶险型前置胎盘术中大出血的有效方法。Objective To study an effective therapeutic measure of hemorrhage used by pernicious pla- centa previa during C-section. Methods To look back and analyze of 13 patients in our hospital who suffered from hemorrhage caused by pernicious placenta previa during C-section and treated with packing with ribbon gauze and carboprost tromethamine from December 2009 to October 2011. Results 10 patients succeeded in haemostasis. Ribbon gauze was took out after 24 h. No infection and late postpartum hemorrhage. There were 2 uterine artery embelization because of placenta implantation, 1 hysterectomy and no maternal died. Conclusion Packing with ribbon gauze and carboprost tromethamine is an effective measure to treat hemorrhage caused by pernicious placenta previa during C-section.

关 键 词：凶险型前置胎盘 产后出血 卡前列素氨丁三醇 宫腔纱条填塞 

分 类 号：R719.8[医药卫生—妇产科学]