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子宫动脉假性动脉瘤破裂:阴道出血致生命威胁的表现。

Uterine artery pseudoaneurysm rupture: a life-threatening presentation of vaginal bleeding.

机构信息

Department of Emergency Medicine, Emory University School of Medicine, Atlanta, GA, USA.

出版信息

Ann Emerg Med. 2010 May;55(5):460-3. doi: 10.1016/j.annemergmed.2010.01.026. Epub 2010 Feb 20.

Abstract

Uterine artery pseudoaneurysm rupture is a rare, yet life-threatening, cause of postpartum hemorrhage. Prompt recognition and management are critical in severe vaginal bleeding. In this case, diagnosis by bedside ultrasonography and initial management with vaginal packing and fluid resuscitation were performed in the emergency department. Definitive treatment by selective arterial embolization was performed to achieve hemostasis. This article discusses options available in the diagnosis, management, and treatment of uterine artery pseudoaneurysm hemorrhage.

摘要

子宫动脉假性动脉瘤破裂是一种罕见但危及生命的产后出血原因。在严重阴道出血时,及时识别和处理至关重要。在本例中,通过床旁超声诊断,并在急诊科进行阴道填塞和液体复苏的初步处理。通过选择性动脉栓塞进行确定性治疗以达到止血目的。本文讨论了诊断、处理和治疗子宫动脉假性动脉瘤出血的各种选择。

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