CAJ | 학술논문

目的探讨卡前列素氨丁三醇联合宫腔填塞纱条对凶险型前置胎盘的疗效。方法选取本院2010年10月~2012年12月使用卡前列素氨丁三醇联合宫腔填塞纱条治疗的凶险型前置胎盘剖宫产术中大出血病例24例，回顾性分析治疗前后出血量差异并及时记录。结果使用卡前列素氨丁三醇联合宫腔填塞纱条治疗凶险型前置胎盘24例中成功20例，1 d后填塞纱条顺利从阴道取出，没有感染复发出血发生；3例患者由于胎盘完全植入造成子宫动脉栓塞；还有1例患者实行子宫切除，没有死亡病例。结论卡前列素氨丁三醇联合宫腔填塞纱条对治疗凶险型前置胎盘大出血十分有效，值得临床借鉴推广。
목적탐토잡전렬소안정삼순연합궁강전새사조대흉험형전치태반적료효。방법선취본원2010년10월~2012년12월사용잡전렬소안정삼순연합궁강전새사조치료적흉험형전치태반부궁산술중대출혈병례24례，회고성분석치료전후출혈량차이병급시기록。결과사용잡전렬소안정삼순연합궁강전새사조치료흉험형전치태반24례중성공20례，1 d후전새사조순리종음도취출，몰유감염복발출혈발생；3례환자유우태반완전식입조성자궁동맥전새；환유1례환자실행자궁절제，몰유사망병례。결론잡전렬소안정삼순연합궁강전새사조대치료흉험형전치태반대출혈십분유효，치득림상차감추엄。
Objective To discuss the effect of carboprost tromethamine(CT) combined with intrauterine packing with gauze(IPWG) on dangerous placenta previa( DPP). Methods 24 cases of massive haemorrhage patients caused by DPP operation which were treated with CT combined with IPWG from Oct.2011 to Dec.2012 were selected, and the blood volume difference were retrospectively analyzed and timely recorded before and after treatment. Results 20 out of 24 cases DPP patients were successfully recovered by CT combined with IPWG treatment. The packing gauze was pulled out smoothly after 1 day, and no infection recurred and haemorrhage. 3 cases patients' uterine artery were embolized due to the fully placenta implantation. In addition, 1 case of hysterectomy was operated, however, no death happened in the end. Conclusion CT combined with IPWG has a high effect on DPP therapy, and it worth to be used for reference in clinical therapy.