Shweni P M, Bishop B B, Hansen J N, Subrayen K T
Department of Obstetrics and Gynaecology, University of Natal.
S Afr Med J. 1987 Nov 7;72(9):617-9.
Between January 1982 and April 1985 13 patients with severe secondary postpartum haemorrhage after caesarean section were seen at King Edward VIII Hospital, Durban. The bleeding occurred in the second, third and fourth weeks after delivery, but there were no maternal deaths. Eight of these patients were treated by total abdominal hysterectomy and 1 by revision of the uterine wound and ligation of the bleeding uterine vessels. The last 4 patients, seen in 1985, were treated by selective transcatheter embolisation with Gelfoam pledgets. This method was successful in 3 patients and failed in 1. It is suggested that the latter method has a place in the treatment of these patients.
1982年1月至1985年4月期间，德班爱德华八世医院收治了13例剖宫产术后严重继发性产后出血的患者。出血发生在分娩后的第二、第三和第四周，但没有产妇死亡。其中8例患者接受了全腹子宫切除术，1例接受了子宫伤口修复和出血子宫血管结扎术。1985年见到的最后4例患者接受了用明胶海绵小块进行的选择性经导管栓塞治疗。该方法在3例患者中成功，1例失败。建议后一种方法在这些患者的治疗中占有一席之地。
