Department of Surgery, National Naval Medical Center, Bethesda, MD, USA.
World J Emerg Surg. 2009 Nov 25;4:43. doi: 10.1186/1749-7922-4-43.
Postpartum hemorrhage is one of the rare occasions when a general or acute care surgeon may be emergently called to labor and delivery, a situation in which time is limited and the stakes high. Unfortunately, there is generally a paucity of exposure and information available to surgeons regarding this topic: obstetric training is rarely found in contemporary surgical residency curricula and is omitted nearly completely from general and acute care surgery literature and continuing medical education.
The purpose of this manuscript is to serve as a topic specific review for surgeons and to present a surgeon oriented management algorithm. Medline and Ovid databases were utilized in a comprehensive literature review regarding the management of postpartum hemorrhage and a management algorithm for surgeons developed based upon a collaborative panel of general, acute care, trauma and obstetrical surgeons' review of the literature and expert opinion.
A stepwise approach for surgeons of the medical and surgical interventions utilized to manage and treat postpartum hemorrhage is presented and organized into a basic algorithm.
The manuscript should promote and facilitate a more educated, systematic and effective surgeon response and participation in the management of postpartum hemorrhage.
产后出血是普通外科或急性护理外科医生可能被紧急召集到产房的罕见情况之一，这种情况时间紧迫，风险很高。不幸的是，一般来说，外科医生对这个话题的了解和信息都很匮乏：产科培训在当代外科住院医师课程中很少见，几乎完全从普通外科和急性护理外科文献和继续医学教育中删除。
本文的目的是为外科医生提供一个专题综述，并提出一个面向外科医生的管理算法。我们利用 Medline 和 Ovid 数据库对产后出血的管理进行了全面的文献综述，并根据普通外科、急性护理、创伤和产科外科医生对文献的回顾和专家意见，制定了一个外科医生管理算法。
提出了一个针对外科医生的医疗和手术干预措施的逐步方法，并将其组织成一个基本算法。
本文应促进和促进外科医生更有针对性、更系统和更有效的应对和参与产后出血的管理。
