Keriakos Remon, Chaudhuri Smriti Ray
Department of Obstetric and Gynaecology, Jessop Wing, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Tree Root Walk, Sheffield S10 2SF, UK.
Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S10 2SF, UK.
Case Rep Crit Care. 2011;2011:541479. doi: 10.1155/2011/541479. Epub 2011 Jun 26.
Acute postpartum uterine inversion is a relatively rare complication. The uterus inverts and the uterine fundus prolapses to or through the dilated cervix. It is associated with major postpartum haemorrhage with or without shock. Shock is sometimes out of proportion to the haemorrhage. Minimal maternal morbidity and mortality can be achieved when uterine inversion is promptly and aggressively managed. We present this report of three cases of acute uterine inversion complicated with major postpartum haemorrhage and managed with Rusch balloon. The paper highlights the importance of early recognition and the safety of the use of intrauterine balloon to manage major postpartum haemorrhage in these cases.
急性产后子宫内翻是一种相对罕见的并发症。子宫倒转，子宫底脱垂至或通过扩张的宫颈。它与严重产后出血相关，可伴有或不伴有休克。休克有时与出血量不成比例。如果能及时、积极地处理子宫内翻，可将产妇的发病率和死亡率降至最低。我们报告三例急性子宫内翻合并严重产后出血并采用Rusch球囊治疗的病例。本文强调了早期识别的重要性以及在这些病例中使用宫内球囊治疗严重产后出血的安全性。
