医学理论与实践
醫學理論與實踐
의학이론여실천
The Journal of Medical Theory and Practice
2009年
7期
769-771
,共3页
子宫动脉%栓塞%产后大出血%介入治疗%保守治疗%子宫收缩乏力
子宮動脈%栓塞%產後大齣血%介入治療%保守治療%子宮收縮乏力
자궁동맥%전새%산후대출혈%개입치료%보수치료%자궁수축핍력
Uterine artery%Embolization%Postpartum massive hemorrhage%Interventional therapy%Expectant treatment%Uterine inertia
目的:分析导致产后大出血的相关因素,探讨子宫动脉栓塞治疗产后大出血的疗效.方法:应用Seldinger技术行子宫动脉栓塞治疗17例产后大出血伴休克、弥漫性血管内凝血,同时选14例产后大出血患者经传统的保守治疗相比较.结果:宫缩乏力是产后大出血的主要原因,其次为胎盘因素、软产道损伤等;17例患者除2例栓塞无效行子宫切除,其余15例经子宫动脉栓塞治疗后止血成功,且均恢复正常月经.结论:对于积极保守治疗无效的产后大出血,子宫动脉栓塞治疗迅速、有效、安全、可靠,是一种可靠的微创治疗法.
目的:分析導緻產後大齣血的相關因素,探討子宮動脈栓塞治療產後大齣血的療效.方法:應用Seldinger技術行子宮動脈栓塞治療17例產後大齣血伴休剋、瀰漫性血管內凝血,同時選14例產後大齣血患者經傳統的保守治療相比較.結果:宮縮乏力是產後大齣血的主要原因,其次為胎盤因素、軟產道損傷等;17例患者除2例栓塞無效行子宮切除,其餘15例經子宮動脈栓塞治療後止血成功,且均恢複正常月經.結論:對于積極保守治療無效的產後大齣血,子宮動脈栓塞治療迅速、有效、安全、可靠,是一種可靠的微創治療法.
목적:분석도치산후대출혈적상관인소,탐토자궁동맥전새치료산후대출혈적료효.방법:응용Seldinger기술행자궁동맥전새치료17례산후대출혈반휴극、미만성혈관내응혈,동시선14례산후대출혈환자경전통적보수치료상비교.결과:궁축핍력시산후대출혈적주요원인,기차위태반인소、연산도손상등;17례환자제2례전새무효행자궁절제,기여15례경자궁동맥전새치료후지혈성공,차균회복정상월경.결론:대우적겁보수치료무효적산후대출혈,자궁동맥전새치료신속、유효、안전、가고,시일충가고적미창치요법.
Objective:Analyse that causes the relevant factor of the massive hemorrhage patients of postpartum, to probe into the clinical effects of bilateral uterine arterial embolization.Methods:Use seldinger technology to carry on the uterine arterial embolization to treat 17 patients,and with adopt the traditional method to treat 14 massive hemorrhage patients of postpartum to oppose and shine.Results:It is a main reason of the massive hemorrhage of the postpartum that the uterine inertia, secondly it is a placenta factor, the soft birth canal is damaged etc;17 patients except that 2 embolism invalid to perform the hysterectomia,it is succeed in arresing blood after the uterus artery embolism is treated to have 15 more other,and resume normal period.Conclusion:As to guarding the postpartum failing to respond to any medical treatment massive hemorrhage actively,the uterus artery embolism is treated fast,effective,safe,reliable,is a kind of reliable achieving the law of treating a minimal access.