Ochoa Mark, Allaire Alexander D, Stitely Michael L
Department of Obstetrics and Gynecology, Bethesda, Maryland 20889, USA.
Obstet Gynecol. 2002 Mar;99(3):506-9. doi: 10.1016/s0029-7844(01)01712-4.
The square suture technique to achieve hemostasis for postpartum hemorrhage has been described in the medical literature. In a prior report of 23 cases, there were no complications from the technique.
A young woman with an gravida 1 para 0 with an uncomplicated prenatal course presented at 40 weeks' estimated gestational age in active labor. Cesarean delivery was performed for arrest of dilatation and was complicated by postpartum hemorrhage unresponsive to medical therapy and uterine artery ligation. Several hemostatic square sutures were placed, obtaining hemostasis. The patient presented 4 weeks postpartum with pain and mucopurulent discharge. Pyometrium was discovered at the time of dilation and curettage.
Pyometrium may result from the use of hemostatic square suture technique for control of postpartum hemorrhage.
医学文献中已描述了用于产后出血止血的方形缝合技术。在之前一篇23例病例的报告中，该技术未出现并发症。
一名初产妇，孕期无并发症，在预计孕龄40周时进入活跃期分娩。因宫口扩张停滞行剖宫产，术后并发产后出血，药物治疗和子宫动脉结扎均无效。放置了数条方形止血缝合线后实现止血。患者产后4周出现疼痛和黏液脓性分泌物。刮宫时发现子宫积脓。
子宫积脓可能是使用方形止血缝合技术控制产后出血所致。
