Intensitive Care Unit, Unidad Médica de Alta Especialidad Hospital de Ginecología y Obstetricia No. 3, Centro Médico "La Raza" Instituto Mexicano del Seguro Social. Mexico City, Mexico.
School of Medicine, Universidad Nacional Autónoma de México. Mexico City, Mexico.
Cir Cir. 2020;88(Suppl 1):31-34. doi: 10.24875/CIRU.19001309.
We report the case of a 34-year-old woman with a 32-week pregnancy complicated by recurrent severe preeclampsia, HELLP Class I syndrome, and an intact hepatic hematoma of the right lobe detected by ultrasound. During the cesarean section, the rupture of the hematoma occurred and a gastroesophageal probe of the Sengstaken-Blakemore type was placed to occlude the bleeding cavity and the exit tunnel. The balloons were deflated gradually and the probe was removed on the 10 day without complications. The Sengstaken-Blakemore probe can be an effective remedy to control liver bleeding in selected cases.
我们报告了一例 34 岁女性，怀孕 32 周，并发复发性严重子痫前期、HELLP 分级 I 综合征和超声检查发现右叶完整肝血肿。在剖宫产术中，血肿破裂，放置 Sengstaken-Blakemore 型胃食管探头以闭塞出血腔和出口隧道。逐渐放气和排空球囊，第 10 天取出探头，无并发症。Sengstaken-Blakemore 探头可作为控制选定病例肝出血的有效方法。
