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一种用于剖宫产术中大出血的新型无创止血带技术。

A Novel Atraumatic Tourniquet Technique for Excessive Bleeding during Cesarean Sections.

作者信息

Buke Baris, Canverenler Emre, Akkaya Hatice, Akercan Fuat

机构信息

Department of Obstetrics and Gynecology, Kayseri Education and Research Hospital, Kayseri, Turkey.

Department of Obstetrics and Gynecology, Medical Park Uşak Hospital, Uşak, Turkey.

出版信息

Obstet Gynecol Int. 2017;2017:7171520. doi: 10.1155/2017/7171520. Epub 2017 Jan 9.

DOI:10.1155/2017/7171520
PMID:28149307
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5253165/
Abstract

. Controlling excessive bleeding in cesarean sections which may cause a life-threatening event even under well-prepared conditions. We used a novel atraumatic tourniquet technique to temporary arrest blood flow through the uterine and ovarian vessels and compare with other techniques. Toothless vascular clamps were used as clamp. . Tourniquet technique performed postpartum hemorrhage (PPH) cases (19 out of 37) were compared with 18 other cases with PPH. . The difference between preoperative and postoperative hemoglobin values was significantly lower in the study group as well as the number of blood products needed during and after surgery. . This technique not only prevented massive bleeding from the uterus but also allowed physicians time to consider the necessity of further interventions.

摘要

控制剖宫产术中的大出血,即使在准备充分的情况下,这也可能导致危及生命的事件。我们采用了一种新型无创止血带技术来暂时阻断子宫和卵巢血管的血流,并与其他技术进行比较。使用无齿血管夹作为夹子。对采用止血带技术的产后出血(PPH)病例(37例中的19例)与另外18例PPH病例进行了比较。研究组术前和术后血红蛋白值的差异以及手术期间和术后所需血液制品的数量均显著更低。该技术不仅防止了子宫大量出血,还为医生留出时间来考虑进一步干预的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cbe/5253165/036db7f3e94e/OGI2017-7171520.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cbe/5253165/c335fd72920b/OGI2017-7171520.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cbe/5253165/036db7f3e94e/OGI2017-7171520.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cbe/5253165/c335fd72920b/OGI2017-7171520.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1cbe/5253165/036db7f3e94e/OGI2017-7171520.002.jpg

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Conservative management of abnormally invasive placentation.异常侵袭性胎盘植入的保守治疗
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Tourniquet technique prevents profuse blood loss in placenta accreta cesarean section.
J Obstet Gynaecol Res. 2005 Feb;31(1):27-31. doi: 10.1111/j.1447-0756.2005.00247.x.
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The B-Lynch surgical technique for the control of massive postpartum haemorrhage: an alternative to hysterectomy? Five cases reported.用于控制产后大出血的B-Lynch手术技术:子宫切除术的替代方法?附5例报告。
Br J Obstet Gynaecol. 1997 Mar;104(3):372-5. doi: 10.1111/j.1471-0528.1997.tb11471.x.
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Stepwise uterine devascularization: a novel technique for management of uncontrolled postpartum hemorrhage with preservation of the uterus.逐步子宫去血管化:一种保留子宫治疗难治性产后出血的新技术。
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Obstet Gynecol. 1985 Sep;66(3):353-6.