Majumdar A, Saleh S, Davis M, Hassan I, Thompson P J
Women's Unit, Stepping Hill Hospital, Stockport, UK.
J Obstet Gynaecol. 2010;30(6):586-93. doi: 10.3109/01443615.2010.494202.
Haemorrhage is one of the leading global causes of maternal mortality. The Rüsch balloon has been used in the treatment of postpartum haemorrhage (PPH) after failure of medical management. It is often effective in tamponading uterine bleeding, thus providing an alternative to hysterectomy. We describe a series of 22 cases in which we used the Rüsch balloon to control massive obstetric haemorrhage after failure to control haemorrhage by medical means. In our study, 13 out of 22 patients (59.1%) required no further interventions after balloon tamponade. Seven patients (31.8%) required hysterectomy to control the bleeding. We include a review of the current literature on balloon tamponade for PPH, including analysis of six relevant case series. This demonstrates a variety of methods based on tamponade to terminate uterine haemorrhage. Our study highlights the benefit of balloon tamponade for massive PPH and the importance of its involvement in labour ward protocols.
出血是全球孕产妇死亡的主要原因之一。在药物治疗失败后，Rüsch球囊已被用于治疗产后出血（PPH）。它通常能有效压迫子宫出血，从而为子宫切除术提供了一种替代方法。我们描述了一系列22例病例，在这些病例中，我们在通过药物手段未能控制出血后，使用Rüsch球囊来控制严重的产科出血。在我们的研究中，22例患者中有13例（59.1%）在球囊压迫止血后无需进一步干预。7例患者（31.8%）需要进行子宫切除术来控制出血。我们纳入了对当前关于PPH球囊压迫止血的文献综述，包括对六个相关病例系列的分析。这展示了基于压迫止血来终止子宫出血的多种方法。我们的研究强调了球囊压迫止血对严重PPH的益处以及其纳入产房治疗方案的重要性。
