Japaraj R P, Raman S
Maternal Fetal Medicine Unit, Department of Obstetrics and Gynecology, Hospital Ipoh, Jalan Hospital, 30990, Ipoh, Perak.
Med J Malaysia. 2003 Oct;58(4):604-7.
Massive postpartum haemorrhage after Cesarean section for placenta previa is a common occurrence. The bleeding is usually from the placental bed at the lower uterine segment. Uterine tamponade has a role in the management of such patients especially when fertility is desired. We describe here a case of massive postpartum haemorrhage, which was managed, with the use of a Sengstaken-Blakemore tube. This allowed us to avoid a hysterectomy for a young primiparous patient.
剖宫产术后前置胎盘所致的大量产后出血很常见。出血通常来自子宫下段的胎盘床。子宫压迫法在这类患者的治疗中发挥作用,尤其是在患者希望保留生育能力的情况下。我们在此描述一例大量产后出血的病例,该病例通过使用森斯塔肯-布莱克莫尔管进行了治疗。这使我们得以避免对一名年轻初产妇进行子宫切除术。