Kendrick James E, Leath Charles A, Melton Sherry M, Straughn J Michael
Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of Alabama at Birmingham, Birmingham, Alabama 35233, USA.
Obstet Gynecol. 2006 Feb;107(2 Pt 2):493-6. doi: 10.1097/01.AOG.0000168445.41145.7b.
Massive obstetric hemorrhage can be catastrophic, with considerable maternal morbidity and mortality.
A 41-year-old term gravida experienced massive postpartum hemorrhage attributed to an amniotic fluid embolism with rapid development of disseminated intravascular coagulation and resultant abdominal compartment syndrome. In this critically ill patient, a fascial prosthesis used for abdominal wall closure was placed to expedite multiple abdominal explorations and packing. Additionally, this device facilitated fascial closure once the abdominal compartment syndrome was resolved.
Abdominal compartment syndrome resulting from overwhelming obstetric hemorrhage may necessitate emergent decompressive laparotomy to alleviate increased intra-abdominal pressure and end-organ dysfunction. The fascial prosthesis allows a staged abdominal wall closure to be performed once the abdominal compartment syndrome is resolved.
严重产科出血可能是灾难性的，会导致相当高的孕产妇发病率和死亡率。
一名41岁的足月孕妇经历了大量产后出血，原因是羊水栓塞，迅速发展为弥散性血管内凝血，并导致腹腔间隔室综合征。在这名重症患者中，放置了用于腹壁闭合的筋膜假体，以加快多次腹部探查和填塞。此外，一旦腹腔间隔室综合征得到解决，该装置有助于筋膜闭合。
由严重产科出血导致的腹腔间隔室综合征可能需要紧急减压剖腹术，以减轻腹腔内压力升高和终末器官功能障碍。一旦腹腔间隔室综合征得到解决，筋膜假体允许进行分期腹壁闭合。
