双球囊宫颈扩张导管作为宫内球囊填塞在流产后大出血中效果良好。
Double-balloon cervical ripening catheter works well as an intrauterine balloon tamponade in post-abortion massive hemorrhage.
机构信息
Department of Obstetrics and Gynecology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
出版信息
Taiwan J Obstet Gynecol. 2012 Sep;51(3):426-9. doi: 10.1016/j.tjog.2012.07.020.
OBJECTIVE
Clinical experience in the management of post-abortion hemorrhage is limited.
CASE REPORTS
Two women with severe post-abortion hemorrhage were reported. One case occurred after methotrexate treatment of Cesarean scar pregnancy and the other occurred after abortion surgery. Both patients were successfully treated with a double-balloon cervical ripening catheter inducing intrauterine balloon tamponade.
CONCLUSION
Use of a double-balloon cervical ripening catheter either before or after systemic methotrexate treatment is one of the choices in the management of severe post-abortion hemorrhage and can prevent the use of more invasive and/or destructive procedures.
目的
流产后出血的临床处理经验有限。
病例报告
报道了两例严重流产后出血的病例。一例发生在剖宫产瘢痕妊娠甲氨蝶呤治疗后，另一例发生在流产手术后。两例患者均成功采用双球囊宫颈成熟导管行宫内球囊填塞治疗。
结论
在全身甲氨蝶呤治疗前后使用双球囊宫颈成熟导管是严重流产后出血处理的选择之一，可以避免采用更具侵袭性和/或破坏性的方法。
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