剖宫产术后巨大腹膜外血肿6例诊治体会  

Experiences in Diagnosis and Treatment of 6 Cases of Large Extraperitoneal Hematoma after Cesarean Section

作　　者：刘倩[1] 刘伟宗[1] 唐婕[1] 赵卫华[1] 肖正坤 LIU Qian;LIU Wei-zong;TANG Jie;ZHAO Wei-hua;XIAO Zheng-kun(Shenzhen Second People's Hospital,Guangdong Shenzhen 518035)

机构地区：[1]深圳市第二人民医院,广东深圳518035

出　　处：《深圳中西医结合杂志》2022年第12期87-89,F0003,共4页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：剖宫产术后巨大腹膜外血肿解剖位置较深,早期缺乏特异性临床表现,常以发热为首发症状,严重时继发弥散性血管内凝血,危及产妇生命。治疗多以手术清除血肿为主,但手术会带来二次损伤、感染、出血等一系列问题,加重产妇生理及心理创伤。随着超声介入医学的发展,开拓了这类血肿治疗的新思路。超声介入联合负压吸引术可有效清除剖宫产术后巨大腹膜外血肿,改善因积血所致的发热、腹痛症状,精准微创。本文回顾性分析了6例采用超声介入联合负压吸引术治疗的患者资料,总结技术经验,希望为此类患者的临床处理提供参考。The large extraperitoneal hematoma after cesarean section has a deep anatomical position and lacks specific clinical manifestations in the early stage.Fever is usually the first symptom,and in severe cases,disseminated intravascular coagulation may occur,which is life-threatening.The treatment is mainly surgical removal of hematoma,but the operation will bring secondary injury,infection,bleeding and a series of problems,aggravating maternal physical and psychological trauma.With the development of ultrasound interventional medicine,a new way of treating hematoma has been developed.Ultrasonic intervention combined with negative pressure suction can effectively remove large extraperitoneal hematoma after cesarean section,improve the symptoms of fever and abdominal pain caused by blood accumulation,and achieve precise minimally invasive surgery.The author retrospectively analyzed the data of 6 patients who were treated by ultrasonic intervention combined with negative pressure suction,summarized the technical experience,and hoped to provide reference for the clinical management of such patients.

关 键 词：剖宫产 腹膜外血肿 超声介入 负压吸引术 

分 类 号：R714.69[医药卫生—妇产科学]