血管性介入治疗重度产后出血和结局分析  

Application of interventional therapy in severe postpartum hemorrhage

作　　者：李清秀[1] 李华[2] 马静 LI Qingxiu;LI Hua;MA Jing(Department of Health Examination,the First Affiliated Hospital,Guangzhou Medical University,Guangzhou,510120,China;Department of Obstetrics and Gynecology,the First College of Clinical Medical Science,Three Gorges University,Yichang Central People's Hospital;Department of Obstetrics and Gynecology,the First Affiliated Hospital,Guangzhou Medical University)

机构地区：[1]广州医科大学附属第一医院健康体检科,广州511300 [2]三峡大学第一临床医学院&宜昌市中心人民医院 [3]广州医科大学附属第一医院妇产科

出　　处：《临床急诊杂志》2020年第12期1000-1004,共5页Journal of Clinical Emergency

基　　金：广州医科大学附属第一医院2019年度成果培育和临床转化应用培育类项目(No:ZH201902)。

摘　　要：目的:探讨血管性介入治疗对重度产后出血的临床价值。方法:分析我院3例重度产后出血患者的基本信息,出血情况、介入治疗效果以及产后随访结果。结果:3例患者发生重度产后出血,采用血管性介入治疗均治愈,但是术后随访半年,月经恢复情况不同。结论:血管性介入治疗重度产后出血,可以帮助患者保留子宫,是有效的救治方法,但是由于样本量太小,需要扩大样本量,以便对该技术应用于治疗难治性产后出血的临床效果进行科学的评价。Objective: To analyze the effect of interventinal therapy in severe postpartum hemorrhage. Methods: We reports 3 cases of pregnancy patients with severe postpartum hemorrhage, caused by different reasons. The effect of interventional therapy were analyzed. In the paper we also analyzed the timing of interventional therapy and the outcome of pregnancy in all cases, including postoperative bleeding, complications and follow-up results. Results: In 3 cases of pregnancy, severe postpartum hemorrhage were cured and in 1 case, but other two cases were not cured. Conclusion: Interventional treatment of severe postpartum hemorrhage is an effective treatment method to help preserve the uterus. In the paper the sample size is too small, so we need to expand the cases in order to scientifically evaluate the clinical effect of this technology in the treatment of severe postpartum hemorrhage.

关 键 词：重度产后出血 血管介入性治疗 子宫收缩乏力 胎盘植入 软产道裂伤 

分 类 号：R714[医药卫生—妇产科学]