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目的探讨低位腹主动脉压迫法在凶险性前置胎盘剖宫产手术中紧急切除子宫并控制出血的临床价值。方法回顾性分析2016年1月—2017年3月期间,在四川省妇幼保健院采用低位腹主动脉压迫法完成的4例凶险性前置胎盘围手术期子宫切除病例的临床资料。结果 4例患者手术均成功,母儿平安,无盆腔脏器损伤,未发现腹主动脉压迫相关的并发症。结论低位腹主动脉压迫法可以有效地争取子宫切除的手术时间,协助完成紧急子宫切除,具有对母体血液循环影响小、手术视野清晰、术中出血量少、并发症少、简单可行等优势,值得进一步在术中大出血抢救病例中推广。特别是在无条件进行血管介入治疗的医院或急诊情况下,低位腹主动脉压迫法更是值得提倡的急救措施。
Objective To investigate the clinical value of low-level abdominal aorta compression in urgent removal of the uterus and control of bleeding in caesarean section of dangerous placenta previa. Methods The clinical data of 4 cases of perioperative hysterectomy of placenta previa were retrospectively analyzed from January 2016 to March 2017 in Sichuan Maternal and Child Health Hospital using low abdominal aorta compression method. Results All the 4 patients were operated successfully, their maternal and child were safe, there was no pelvic organ injury, and no complication related to abdominal aortic compression was found. Conclusion Low abdominal aortic compression can effectively hysterectomy surgery time, to help complete the emergency hysterectomy, with less impact on maternal blood circulation, surgical field of vision clear, less blood loss, fewer complications, simple and feasible advantages, It is worth further promotion of intraoperative hemorrhage rescue cases. Especially in unconditional vascular intervention in hospital or emergency situations, the lower abdominal aortic compression law is worthy of promotion of emergency measures.