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生化汤治疗3天后发生灾难性延迟性产后出血。

Disastrous delayed postpartum hemorrhage after 3 days of Shenghua decoction treatment.

作者信息

Chen Hui-Hua, Chou Yueh-Hung, Lin Ho-Hsiung, Hsiao Sheng-Mou

机构信息

Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, New Taipei, Taiwan.

Department of Pathology, Far Eastern Memorial Hospital, New Taipei, Taiwan.

出版信息

Tzu Chi Med J. 2019 Dec 5;32(3):298-300. doi: 10.4103/tcmj.tcmj_192_19. eCollection 2020 Jul-Sep.

Abstract

Taiwanese women frequently receive Shenghua decoction treatment for uterus involution. However, prolonged Shenghua decoction treatment can be detrimental. Herein, we report the case of a woman with disastrous postpartum hemorrhage after prolonged Shenghua decoction treatment. A 36-year-old woman underwent scheduled cesarean delivery due to cephalopelvic disproportion. On the 8 postpartum day, she started taking Shenghua decoction twice per day. Massive vaginal bleeding was noted after 3 days of Shenghua decoction treatment. Emergency hysterectomy was performed due to severe hypotension and refractory postpartum hemorrhage. Despite being rare, disastrous delayed postpartum hemorrhage could occur after 3 days of Shenghua decoction treatment. Further research might be needed to clarify the relationship between prolonged Shenghua decoction treatment and delayed postpartum hemorrhage.

摘要

台湾女性经常接受生化汤治疗以促进子宫复旧。然而,长期服用生化汤可能有害。在此,我们报告一例长期服用生化汤后发生灾难性产后出血的病例。一名36岁女性因头盆不称接受了择期剖宫产。产后第8天,她开始每天服用两次生化汤。服用生化汤3天后出现大量阴道出血。由于严重低血压和难治性产后出血,进行了紧急子宫切除术。尽管罕见,但服用生化汤3天后可能会发生灾难性的延迟性产后出血。可能需要进一步研究以阐明长期服用生化汤与延迟性产后出血之间的关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95a3/7485675/d39add101711/TCMJ-32-298-g001.jpg

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