Brown B J, Heaston D K, Poulson A M, Gabert H A, Mineau D E, Miller F J
Obstet Gynecol. 1979 Sep;54(3):361-5.
A case of severe postpartum hemorrhage is reported. Three separate surgical procedures failed to reveal the source of bleeding, and standard surgical techniques, including bilateral ligation of the hypogastric arteries, were unsuccessful in producing hemostasis. However, angiography successfully identified the specific bleeding vessel, and transcatheter embolization with Gelfoam fragments quickly and effectively stopped the hemorrhage. The authors consider angiographic embolization to be an effective alternative approach to the control of pelvic hemorrhage and recommend that the technique be considered prior to surgical intervention.
报道了一例严重产后出血病例。三次单独的外科手术均未能发现出血源，包括双侧髂内动脉结扎在内的标准外科技术也未能成功止血。然而，血管造影成功识别出了具体的出血血管，用明胶海绵碎片进行经导管栓塞迅速有效地止住了出血。作者认为血管造影栓塞是控制盆腔出血的一种有效替代方法，并建议在手术干预前考虑采用该技术。
