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前置胎盘/植入继发于子宫下段的产后出血:用Foley球囊填塞法成功进行保守治疗

Post-partum haemorrhage from the lower uterine segment secondary to placenta praevia/accreta: successful conservative management with Foley balloon tamponade.

作者信息

Albayrak Mustafa, Ozdemir Ismail, Koc Onder, Demiraran Yavuz

机构信息

Department of Obstetrics and Gynecology, Duzce University School of Medicine, Duzce, Turkey.

出版信息

Aust N Z J Obstet Gynaecol. 2011 Aug;51(4):377-80. doi: 10.1111/j.1479-828X.2011.01309.x. Epub 2011 Apr 18.

Abstract

Profuse bleeding from the lower uterine segment secondary to placenta praevia/accreta during caesarean delivery is a challenging problem in obstetrics. We present our experiences using intrauterine Foley balloon tamponade for the conservative management of post-partum haemorrhage from the lower uterine segment. Intraoperative haemostasis was achieved in all women who were unresponsive to other conservative methods. Foley balloon tamponade may be considered in the management of lower uterine segment bleeding at caesarean delivery.

摘要

剖宫产时因前置胎盘/胎盘植入导致子宫下段大量出血是产科中一个具有挑战性的问题。我们介绍了使用宫腔 Foley 球囊填塞术保守治疗子宫下段产后出血的经验。所有对其他保守方法无反应的女性术中均实现了止血。剖宫产时子宫下段出血的处理可考虑采用 Foley 球囊填塞术。

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