Bakri球囊治疗重型胎盘早剥的临床效果  

The Clinical Effect of Bakri Balloon in Management of Serious Placental Abruption

作　　者：林晶[1] 陈宇清[1] LIN Jing CHEN Yu-qing(Department of Obstetrics and Gynecology, Fujian Provincial Hospital, Fuzhou 350001, Fujian, China)

机构地区：[1]福建省立医院妇产科,福州350001

出　　处：《中国现代手术学杂志》2016年第5期379-381,共3页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨Bakri子宫填塞球囊导管（Bakri球囊）在治疗重型胎盘早剥中的作用。方法回顾性分析2012年1月至2015年1月间福建省立医院收治的因重型胎盘早剥使用Bakri球囊治疗的患者的临床特点,并分析其治疗效果。结果 13例重型胎盘早剥患者在剖宫产术中应用Bakri球囊治疗均得以保留子宫。放置前出血量平均1 005（800~2 000）ml,放置后2 h出血量平均215（30~900）ml,放置后24 h出血量平均300（60~1 050）ml。13例患者术后均无明显疼痛,无产后发热及死亡病例。结论Bakri球囊可减少重型胎盘早剥患者产后出血量,降低输血及切除子宫风险,并不增加术后病率。Objective To investigate the effect of Bakri uterine tamponade balloon catheter（ Bakri balloon） in the event of serious placental abruption. Methods The features and treatment effects of patients with serious placental abruption treated with Bakri balloon were retrospectively analyzed in Fujian Provincial Hospital from January 2012 to January 2015. Results The Bakri balloons were all inserted abdominally during cesarean section. The Bakri tamponade was effective in all cases on account of the uterus preservation and postpartum haemorrhage reduction. All the 13 cases had no obvious postoperative pain,nor postpartum fever or death.Conclusion Bakri balloon can reduce postpartum haemorrhage amount in patients with severe placental abruption,reduce the risk of blood transfusion and hysterectomy,and does not increase the rate of postoperative complication.

关 键 词：胎盘早剥 产后出血 Bakri球囊 

分 类 号：R714.46[医药卫生—妇产科学]