Spechter H J, Mauermann W, Dorner H H
Geburtshilfe Frauenheilkd. 1977 Nov;37(11):934-6.
Two hours following a twin stillbirth at 30 weeks gestation, a 25 year old primipara developed severe postpartum hemorrhage due to uterine atony and complicated by increasing consumption coagulopathy. Bilateral catheterization of the internal iliac arteries was attempted but only achieved on the left. For the next 22 hours the patient received 0.2 units per minute of Pitressin by intra-arterial infusion. The infusion was done more and more intermittently as the bleeding stopped and the coagulation parameters normalized. An emergency ligation of the internal iliac arteries or an emergency hysterectomy was thus avoided in this patient.
一名25岁初产妇在妊娠30周时双胎死产，两小时后因子宫收缩乏力出现严重产后出血，并并发消耗性凝血病加重。尝试对双侧髂内动脉进行插管，但仅成功插至左侧。在接下来的22小时内，患者通过动脉内输注每分钟接受0.2单位的垂体后叶素。随着出血停止和凝血参数恢复正常，输注越来越间断进行。该患者因此避免了紧急髂内动脉结扎或紧急子宫切除术。
