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宫腔内避孕套填塞法在产后出血管理中的应用

Intrauterine condom tamponade in management of post partum haemorrhage.

作者信息

Thapa K, Malla B, Pandey S, Amatya S

机构信息

Paropakar Maternity and Women's Hospital, Thapathali, Kathmandu, Nepal.

出版信息

J Nepal Health Res Counc. 2010 Apr;8(1):19-22.

PMID:21879008
Abstract

BACKGROUND

Uterine tamponade is often used to control post partum hemorrhage. Among various methods, condom Foley's catheter tamponade is simple, easy to use and is believed to be effective. The study evaluates outcome of condom Foley's catheter tamponade.

METHODS

In this prespective observational study, condom tamponade was applied to fourteen cases with varying degrees of PPH, not controlled with pharmacologic measures. The efficacy on control of bleeding was assessed along with the total amount of blood loss and any complications.

RESULTS

The condom tamponade stopped bleeding in all the cases. Average amount of blood loss was 1221 ml. No complications were noted.

CONCLUSIONS

Thus, condom tamponade is an effective method to control intractable PPH. It's simple and does not require expertise to use, so, it can have a wide application even in resource poor settings.

摘要

背景

子宫压迫止血法常用于控制产后出血。在各种方法中,避孕套 Foley 导管压迫止血法简单易用,且被认为有效。本研究评估避孕套 Foley 导管压迫止血法的效果。

方法

在这项前瞻性观察研究中,对 14 例经药物治疗无法控制的不同程度产后出血患者应用了避孕套压迫止血法。评估了止血效果、总失血量及任何并发症。

结果

所有病例中避孕套压迫止血法均成功止血。平均失血量为 1221 毫升。未观察到并发症。

结论

因此,避孕套压迫止血法是控制难治性产后出血的有效方法。它简单且使用时不需要专业技能,所以即使在资源匮乏地区也可广泛应用。

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J Obstet Gynaecol India. 2019 Oct;69(Suppl 2):133-141. doi: 10.1007/s13224-018-1185-6. Epub 2019 Jan 5.