经选择性动脉栓塞术治疗的正常阴道分娩后自发性子宫动脉破裂所致继发性产后出血
Secondary Postpartum Hemorrhage due to Spontaneous Uterine Artery Rupture after Normal Vaginal Delivery Managed by Selective Arterial Embolization.
作者信息
Thakur Mili, Adekola Henry O, Asaad Radwan, Gonik Bernard
机构信息
Department of Obstetrics and Gynecology, Wayne State University School of Medicine/Detroit Medical Center, Detroit, Michigan; Division of Genetic and Metabolic Disorders, Department of Pediatrics and Center for Molecular Medicine and Genetics, Wayne State University/Detroit Medical Center, Detroit, Michigan.
Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Hurley Medical Center, Flint, Michigan.
出版信息
AJP Rep. 2016 Oct;6(4):e442-e444. doi: 10.1055/s-0036-1597623.
Secondary postpartum hemorrhage due to an intraperitoneal bleed following a vaginal delivery is extremely rare. We present a case of spontaneous rupture of the uterine artery following a normal vaginal delivery with a delayed presentation, which resulted in significant morbidity. This case discusses the presentation and management of this rare obstetrical emergency. The report also discusses the role of selective arterial embolization in management of secondary postpartum hemorrhage.
阴道分娩后因腹腔内出血导致的继发性产后出血极为罕见。我们报告一例正常阴道分娩后子宫动脉自发破裂且出现延迟的病例，该病例导致了严重的发病情况。本文讨论了这种罕见产科急症的临床表现及处理方法。报告还讨论了选择性动脉栓塞在继发性产后出血处理中的作用。
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