论文部分内容阅读
目的分析各种干预措施在难治性产后出血抢救中的运用方式与运用价值。方法难治性产后出血患者共60例,视病情实际灵活予以盆腔动脉结扎、宫腔塞纱、经导管动脉栓塞术、子宫切除术、盆腔塞纱干预治疗,观察并记录每项干预措施结局以及本组患者最终抢救结果。结果盆腔动脉结扎、宫腔塞纱、经导管动脉栓塞术、子宫切除术、子宫切除术+盆腔塞纱成功率分别为37.5%、57.9%、100.0%、84.0%、33.3%。灵活运用各种干预措施后,60例产妇均未死亡,仅1例出现急性左心衰,对症治疗后恢复正常;本组产妇均无并发症。结论规范塞纱可有效压迫止血,视子宫阻碍凝血情况决定是否切除子宫,配合盆腔动脉结扎、经导管动脉栓塞术可有效降低病死率、提升抢救效果。
Objective To analyze the methods and value of using various interventions in the treatment of refractory postpartum hemorrhage. Methods A total of 60 patients with intractable postpartum hemorrhage were treated with pelvic artery ligation, uterine plug yarn, transcatheter arterial embolization, hysterectomy and pelvic plug intervention depending on the actual condition. The outcome of each intervention was observed and recorded. The final rescue results of patients in this group. Results The success rates of pelvic artery ligation, uterine plug yarn, transcatheter arterial embolization, hysterectomy, and hysterectomy plus pelvic plugging were 37.5%, 57.9%, 100.0%, 84.0% and 33.3% respectively. Flexible use of various interventions, 60 cases of maternal deaths, only 1 case of acute left heart failure, symptomatic treatment returned to normal; no complications in this group of maternal. Conclusions The standard gauze can effectively suppress hemostasis. Depending on the uterus, the coagulation of the uterus hinders the coagulation of the uterus. With the help of pelvic artery ligation, catheter embolization can effectively reduce the mortality and improve the rescue effect.