Knapp J, Hofer S, Lier H
Universitätsklinik für Anästhesiologie und Schmerztherapie, Universitätsspital Bern, Freiburgstrasse, 3010, Bern, Schweiz.
Klinik für Anästhesiologie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland.
Anaesthesist. 2016 Mar;65(3):225-40. doi: 10.1007/s00101-016-0148-5.
Peripartum hemorrhage (PPH) is a frequent obstetric emergency situation with increasing incidence in the last decades. It requires a fast, coordinated and interdisciplinary management. This life-threatening situation is often recognized too late and not adequately treated (too little is done too late); therefore, it is important to be aware of the most important risk factors for PPH known as the 4 Ts (i.e. tonus, trauma, tissue and thrombin). Due to the special patient population there is only little evidence-based data on hemostatic therapy in this situation; therefore, the currently available studies on the therapy of PPH is discussed.
产后出血（PPH）是一种常见的产科紧急情况，在过去几十年中发病率不断上升。它需要快速、协调和跨学科的管理。这种危及生命的情况往往被认识得太晚且治疗不充分（做得太少且太晚）；因此，了解产后出血最重要的风险因素即所谓的4T因素（即张力、创伤、组织和凝血酶）很重要。由于特殊的患者群体，在这种情况下关于止血治疗的循证数据很少；因此，讨论了目前关于产后出血治疗的现有研究。
