Thavarasah A S, Sivalingam N, Almohdzar S A
Department of Obstetrics and Gynaecology, University Hospital, School of Medical Sciences, University Science Malaysia, Kota Bharu.
Aust N Z J Obstet Gynaecol. 1989 Feb;29(1):22-5. doi: 10.1111/j.1479-828x.1989.tb02870.x.
Bilateral ligation of the internal iliac artery with or without ligation of the ovarian arteries was carried out in 17 patients who had life-threatening pelvic haemorrhage; 14 were due to obstetric haemorrhage, 2 followed abdominal hysterectomy and 1 intractable haemorrhage associated with carcinoma of the cervix. The procedure was successful in arresting the haemorrhage in 13 patients but 4 needed hysterectomy in spite of the ligation; 1 patient died from disseminated intravascular coagulation following surgery and 1 had cardiac arrest due to extensive blood loss during surgery and died 12 hours later. A review of the literature, a brief description of the procedure and its indications are discussed.
对17例有危及生命的盆腔出血的患者进行了双侧髂内动脉结扎术，其中部分患者还结扎了卵巢动脉；14例因产科出血，2例在腹式子宫切除术后发生，1例因宫颈癌伴难治性出血。该手术成功止血13例，但4例尽管进行了结扎仍需行子宫切除术；1例患者术后死于弥散性血管内凝血，1例因手术中失血过多发生心脏骤停，12小时后死亡。本文对相关文献进行了综述，并讨论了该手术的简要过程及其适应证。
