Clinica de Espectro de Acretismo Placentario, Fundación Valle del Lili, Cali, Colombia.
Hospital Universitario CEMIC, Buenos Aires, Argentina.
Am J Obstet Gynecol. 2022 Jul;227(1):96-97. doi: 10.1016/j.ajog.2022.02.040. Epub 2022 Mar 4.
Obstetrical hemorrhage is the leading cause of maternal death, and its treatment frequently involves surgical procedures. In the most serious cases, regardless of the etiology, the priority is to stop the bleeding and obtain the conditions to definitively repair the injury that generates the bleeding. Multiple options for achieving hemostasis have been described, but most of them require extensive training or technological resources that are not available in all hospitals. Internal manual aortic compression is a procedure that is widely used in the management of massive pelvic bleeding; it was first described more than 50 years ago in obstetrics but is rarely used by obstetricians today. We describe in detail the technique for internal manual aortic compression and highlight the simplicity and effectiveness of the procedure, especially as an initial measure, to avoid the metabolic consequences of massive blood loss. We hope that internal manual aortic compression is taken into account by each obstetrician when caring for a pregnant woman with massive bleeding.
产科出血是导致产妇死亡的主要原因，其治疗常常涉及手术。在最严重的情况下，无论病因如何，首要任务都是止血，并获得能够彻底修复导致出血的损伤的条件。已经描述了多种实现止血的选择，但其中大多数都需要广泛的培训或技术资源，而并非所有医院都具备这些资源。内手动主动脉压迫是一种广泛用于治疗大量骨盆出血的方法；它最初于 50 多年前在产科中描述，但如今很少有产科医生使用。我们详细描述了内手动主动脉压迫技术，并强调了该程序的简单性和有效性，特别是作为初始措施，以避免大量失血的代谢后果。我们希望每个产科医生在治疗大量出血的孕妇时都考虑使用内手动主动脉压迫。
