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Foley 导管作为预防胎盘植入谱系患者产后出血的止血带:两例病例报告及文献复习。

Foley Catheter as a Tourniquet for Peripartum Hemorrhage Prevention in Patients with Placenta Accreta Spectrum-A Two Case Report and a Review of the Literature.

机构信息

Department of Gynecology, Obstetrics and Gynecological Oncology, Medical University of Silesia, 40-055 Katowice, Poland.

出版信息

Medicina (Kaunas). 2023 Mar 23;59(4):641. doi: 10.3390/medicina59040641.

DOI:10.3390/medicina59040641
PMID:37109599
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10146152/
Abstract

One of the most perilous complications in obstetrics, often leading to severe bleeding and sometimes a need for urgent hysterectomy, is placenta accreta spectrum, which significantly increases the risk of peri-partum complications, even including the risk of death for the mother and the child. Dealing with excessive bleeding in this situation is paramount. We have found a Foley catheter tourniquet to be useful as a temporary tourniquet to control placental and uterine hemorrhage. We have used this method and find it very useful. In this publication, we describe the last two cases of the use of the Foley catheter as a tourniquet for peri-partum hemorrhage prevention, and we will present a review of the literature in this field.

摘要

胎盘植入谱系疾病是产科最危险的并发症之一,常导致严重出血,有时需要紧急子宫切除术,显著增加围产期并发症的风险,甚至包括母婴死亡的风险。处理这种情况下的大量出血至关重要。我们发现 Foley 导管止血带可用作临时止血带,以控制胎盘和子宫出血。我们使用了这种方法,发现非常有效。在本出版物中,我们描述了最后两例使用 Foley 导管作为止血带预防围产期出血的病例,并将对该领域的文献进行回顾。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28ce/10146152/318436408d18/medicina-59-00641-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28ce/10146152/64e5f152db0d/medicina-59-00641-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28ce/10146152/bf5da6440eca/medicina-59-00641-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28ce/10146152/c9345892ef70/medicina-59-00641-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28ce/10146152/506228988ab3/medicina-59-00641-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28ce/10146152/2260a62d491d/medicina-59-00641-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28ce/10146152/0b4acbc92947/medicina-59-00641-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28ce/10146152/9c9c99ae2897/medicina-59-00641-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28ce/10146152/15693c7a9070/medicina-59-00641-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28ce/10146152/9adca9cff0c7/medicina-59-00641-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28ce/10146152/318436408d18/medicina-59-00641-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28ce/10146152/64e5f152db0d/medicina-59-00641-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28ce/10146152/bf5da6440eca/medicina-59-00641-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28ce/10146152/c9345892ef70/medicina-59-00641-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28ce/10146152/506228988ab3/medicina-59-00641-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28ce/10146152/2260a62d491d/medicina-59-00641-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28ce/10146152/0b4acbc92947/medicina-59-00641-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28ce/10146152/9c9c99ae2897/medicina-59-00641-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28ce/10146152/15693c7a9070/medicina-59-00641-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28ce/10146152/9adca9cff0c7/medicina-59-00641-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28ce/10146152/318436408d18/medicina-59-00641-g010.jpg

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引用本文的文献

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Foley Catheter as a Tourniquet for Hemorrhage Prevention during Peripartum Hysterectomy in Patients with Placenta Accreta Spectrum (PAS)-A Hospital-Based Study.Foley导管作为胎盘植入谱系疾病(PAS)患者围产期子宫切除术中预防出血的止血带——一项基于医院的研究
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本文引用的文献

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Evaluation of Antepartum Factors for Predicting the Risk of Emergency Cesarean Delivery in Pregnancies Complicated With Placenta Previa.评估前置胎盘合并妊娠中预测急诊剖宫产风险的产前因素。
Ochsner J. 2022 Summer;22(2):146-153. doi: 10.31486/toj.21.0138.
2
Cervical tourniquet during cesarean section to reduce bleeding in morbidly adherent placenta: a pilot study.剖宫产术中使用宫颈止血带减少胎盘植入患者出血的初步研究
Future Sci OA. 2022 Mar 8;8(4):FSO789. doi: 10.2144/fsoa-2021-0087. eCollection 2022 Apr.
3
Placenta Accreta Spectrum Outcomes Using Tourniquet and Forceps for Vascular Control.
使用止血带和钳子控制血管的胎盘植入谱系结局
Front Med (Lausanne). 2021 Oct 18;8:557678. doi: 10.3389/fmed.2021.557678. eCollection 2021.
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Tourniquet: A simple intervention for hemorrhage during cesarean for placenta accreta.止血带:一种用于剖宫产术中胎盘植入出血的简单干预措施。
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Int J Gynaecol Obstet. 2017 Sep;138(3):361-362. doi: 10.1002/ijgo.12199. Epub 2017 Jun 13.
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A Novel Atraumatic Tourniquet Technique for Excessive Bleeding during Cesarean Sections.一种用于剖宫产术中大出血的新型无创止血带技术。
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Acta Obstet Gynecol Scand. 2010 May;89(5):658-63. doi: 10.3109/00016341003605727.
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