Bienstman-Pailleux J, Huissoud C, Dubernard G, Rudigoz R-C
Service de gynécologie-obstétrique, hôpital de la Croix-Rousse, hospices civils de Lyon, 69317 Lyon cedex 04, France.
J Gynecol Obstet Biol Reprod (Paris). 2009 May;38(3):203-8. doi: 10.1016/j.jgyn.2008.10.002. Epub 2008 Nov 18.
Puerperal hematoma is a rare complication of the postpartum period remaining imperfectly known. We present an update of knowledge on this particular type of puerperal haemorrhage threatening in some cases maternal prognosis. In vulvovaginal hematomas, the diagnosis relies on clinical findings whereas it requires medical imaging in the retroperitoneal localisations. Therapeutic approach also largely differs according to the localisation of the hematoma. We thus propose a synthesis of the critical care strategies depending on the type of the puerperal hematoma.
产褥期血肿是产后一种罕见的并发症,目前仍了解不足。我们提供了关于这种特殊类型的产褥期出血的最新知识,在某些情况下,它会威胁产妇的预后。在外阴阴道血肿中,诊断依赖于临床发现,而对于腹膜后血肿则需要医学影像检查。治疗方法也因血肿的部位不同而有很大差异。因此,我们根据产褥期血肿的类型,对重症监护策略进行了综述。