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[产后出血(PPH)的管理:德-奥-瑞跨学科PPH共识小组(德国-奥地利-瑞士)的算法]

[Management of postpartum hemorrhage (PPH): algorithm of the interdisciplinary D-A-CH consensus group PPH (Germany - Austria - Switzerland)].

作者信息

Schlembach D, Mörtl M G, Girard T, Arzt W, Beinder E, Brezinka C, Chalubinski K, Fries D, Gogarten W, Hackelöer B-J, Helmer H, Henrich W, Hösli I, Husslein P, Kainer F, Lang U, Pfanner G, Rath W, Schleussner E, Steiner H, Surbek D, Zimmermann R

机构信息

Abteilung für Geburtshilfe, Universitätsfrauenklinik, Universitätsklinikum Jena, Bachstr. 18, 07732, Jena, Deutschland,

出版信息

Anaesthesist. 2014 Mar;63(3):234-42. doi: 10.1007/s00101-014-2291-1.

Abstract

Postpartum hemorrhage (PPH) is one of the main causes of maternal deaths even in industrialized countries. It represents an emergency situation which necessitates a rapid decision and in particular an exact diagnosis and root cause analysis in order to initiate the correct therapeutic measures in an interdisciplinary cooperation. In addition to established guidelines, the benefits of standardized therapy algorithms have been demonstrated. A therapy algorithm for the obstetric emergency of postpartum hemorrhage in the German language is not yet available. The establishment of an international (Germany, Austria and Switzerland D-A-CH) "treatment algorithm for postpartum hemorrhage" was an interdisciplinary project based on the guidelines of the corresponding specialist societies (anesthesia and intensive care medicine and obstetrics) in the three countries as well as comparable international algorithms for therapy of PPH.The obstetrics and anesthesiology personnel must possess sufficient expertise for emergency situations despite lower case numbers. The rarity of occurrence for individual patients and the life-threatening situation necessitate a structured approach according to predetermined treatment algorithms. This can then be carried out according to the established algorithm. Furthermore, this algorithm presents the opportunity to train for emergency situations in an interdisciplinary team.

摘要

产后出血(PPH)即使在工业化国家也是孕产妇死亡的主要原因之一。它是一种紧急情况,需要迅速做出决策,特别是要进行准确的诊断和根本原因分析,以便在跨学科合作中启动正确的治疗措施。除了既定的指南外,标准化治疗算法的益处也已得到证明。目前尚无德语版的产后出血产科紧急情况治疗算法。建立一个国际(德国、奥地利和瑞士,即D-A-CH)“产后出血治疗算法”是一个跨学科项目,该项目基于这三个国家相应专业协会(麻醉与重症医学以及妇产科学)的指南以及产后出血治疗的类似国际算法。尽管病例数量较少,但妇产科和麻醉科人员必须具备应对紧急情况的足够专业知识。个别患者发病的罕见性以及危及生命的情况需要根据预先确定的治疗算法采取结构化方法。然后可以按照既定算法进行操作。此外,该算法为跨学科团队提供了针对紧急情况进行培训的机会。

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