急性重症监护外科医生在病态粘连性胎盘患者中实施的主动脉抢救性血管内球囊阻断：挽救两条濒危生命的可行方法。
Resuscitative endovascular balloon occlusion of the aorta deployed by acute care surgeons in patients with morbidly adherent placenta: a feasible solution for two lives in peril.
机构信息
1Clinical Research Center, Fundacion Valle del Lili, Cali, Colombia.
2Center for Surgery and Public Health - Brigham and Women's Hospital, Harvard Medical School & Harvard T.H. Chan School of Public Health, Boston, MA USA.
出版信息
World J Emerg Surg. 2018 Sep 24;13:44. doi: 10.1186/s13017-018-0205-2. eCollection 2018.
Abstract
Morbidly adherent placenta (MAP), which includes accreta, increta, and percreta, is a condition characterized by the invasion of the uterine wall by placental tissue. The condition is associated with higher odds of massive post-partum hemorrhage. Several interventions have been developed to improve hemorrhage-related outcomes in these patients; however, there is no evidence to prefer any intervention over another. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an endovascular intervention that may be useful and effective to reduce hemorrhage and transfusions in MAP patients. The objective of this narrative review is to summarize the evidence for REBOA in patients with MAP. We posit that acute care surgeons can perform REBOA for patients with MAP.
摘要
胎盘黏附异常（MAP），包括胎盘植入、胎盘侵入和胎盘穿透，是一种由胎盘组织侵入子宫壁引起的病症。这种病症与大量产后出血的风险增加有关。已经开发了几种干预措施来改善这些患者的出血相关结局，但没有证据表明任何一种干预措施优于另一种。主动脉球囊阻断复苏术（REBOA）是一种血管内干预措施，可能对减少 MAP 患者的出血和输血有效。本叙述性综述的目的是总结 REBOA 在 MAP 患者中的证据。我们假设急性护理外科医生可以为 MAP 患者进行 REBOA。
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