Rudra Amitava, Chatterjee Suman, Sengupta Saikat, Wankhede Ravi, Nandi Biswajit, Maitra Gaurab, Mitra Jayanta
K.P.C. Medical College, Kolkata, India.
Middle East J Anaesthesiol. 2010 Feb;20(4):499-507.
Major obstetric hemorrhage is an extremely challenging obstetric emergency associated with significant morbidity and mortality. Pharmacological treatment of uterine atony has not altered much in recent years apart from the increasing use ofmisoprostol, although controversy surrounds its advantages over other uterotonics. Placenta accreta is becoming more common, a sequel to the rising caesarean section rate. Interventional radiology may reduce blood loss in these cases. Uterine compression sutures, intrauterine tamponade balloons and cell salvage have been introduced in the last decade.
严重产科出血是一种极具挑战性的产科急症，会导致严重的发病率和死亡率。近年来，除了米索前列醇的使用增加外，子宫收缩乏力的药物治疗变化不大，尽管围绕其相对于其他宫缩剂的优势存在争议。胎盘植入越来越常见，这是剖宫产率上升的结果。介入放射学可能会减少这些病例中的失血。子宫压迫缝合术、宫腔填塞球囊和血液回收技术在过去十年中已被引入。
