产科大出血的容量复苏研究进展  

Latest advances in resuscitation for massive obstetric hemorrhage

作　　者：余斌 李红萍 殷巧丽 孔昊[2] Yu Bin;Li Hongping;Yin Qiaoli;Kong Hao(Department of Anesthesiology,Peking University First Hospital Ningxia Women's and Children's Hospital,Yinchuan 750002,China;Department of Anesthesiology,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院宁夏妇女儿童医院麻醉科,银川750002 [2]北京大学第一医院麻醉科,北京100034

出　　处：《国际麻醉学与复苏杂志》2024年第6期623-629,共7页International Journal of Anesthesiology and Resuscitation

基　　金：中央高水平医院临床科研业务费资助(北京大学第一医院院内交叉研究专项)(2023IR22);北京大学第一医院青年临床研究专项基金(2021CR19)。

摘　　要：产科大出血(MOH)是导致孕产妇死亡的主要原因。MOH时不仅有血液容量的丢失,还常伴随凝血功能障碍、严重低血压、酸中毒和低体温。麻醉科医师在危重孕产妇救治中扮演着关键角色。文章根据近期研究成果,就MOH时液体复苏策略、大量输血方案、凝血功能纠正和血管活性药物的使用等相关知识进行综述,为MOH的救治提供参考。Massive obstetric hemorrhage(MOH)is recognized as the leading cause of maternal mortality.The parturients not only have a decreased blood capacity but also suffer consequent coagulation dysfunction,severe hypotension,acidosis,and hypothermia.The anesthesiologists play an essential role in the treatment of critically ill parturients.In this review,we summarize the latest advances in fluid replacement strategy,massive blood transfusion protocol,coagulation dysfunction treatment,and vasoactive drugs to provide hints for massive obstetric hemorrhage rescue.

关 键 词：产科出血 液体复苏 凝血功能 术中自体血回输 

分 类 号：R714.461[医药卫生—妇产科学]