子宫超声多普勒监测晚期产后出血疗效一例  

Uterine Doppler ultrasound in monitoring the treatment effect for late postpartum hemorrhage:a case report

作　　者：王竞雪[1] 孙瑜[1] 杨慧霞[1] Wang Jingxue;Sun Yu;Yang Huixia(Department of Obstetrics and Gynecology,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院妇产科,100034

出　　处：《中华围产医学杂志》2020年第9期623-625,共3页Chinese Journal of Perinatal Medicine

摘　　要：本文报道1例双胎妊娠孕妇,剖宫产术后16 d和22 d反复出现晚期产后出血,2次出血时子宫超声多普勒检查均在子宫后壁内探及迂曲管状血管,伴有丰富静脉频谱血流信号。2次出血均予促进子宫收缩等治疗,阴道出血逐渐减少,同时子宫超声多普勒监测子宫后壁迂曲管状血管管径逐渐缩小,以后未再出现阴道大量出血现象。本例表明,子宫超声多普勒检查对反复晚期产后出血的诊疗具有重要的指导意义。We report a woman with twin pregnancy who suffered from repeated late postpartum hemorrhage at 16 days and 22 days after a cesarean section.Tortuous myometrial vessels with significant flow signal on the uterus were discovered through color Doppler ultrasonography.In both occasions,vaginal bleeding was reduced after uterotonic administration,and Doppler ultrasound found gradually narrowed tortuous tubular myometrial vessels and no further massive vaginal bleeding.Regular Doppler ultrasonography follow-up is of vital importance for the diagnosis and monitoring of recurrent late postpartum hemorrhage.

关 键 词：产后出血 子宫 超声检查 多普勒 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.461[医药卫生—诊断学]