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产后出血的预防与治疗方法:对过去进展、近期发展及最佳实践的系统评价

Approaches to the Prevention and Treatment of Postpartum Hemorrhage: A Systematic Review of Past Advances, Recent Developments, and Best Practices.

作者信息

Sadiku Oluwatosin D, Aina Susan A, Odoemene Chinonso C, Ogunmoyin Temiloluwa E, Adedara Victor O, Olasimbo Omolara, Ashir Faridah A, Adili Stephennie C, Kuteyi Azeez O, Fakayode Opeyemi O, Faletti Donald O, Nogales Bernal María Belén

机构信息

Obstetrics and Gynecology, St. George's University School of Medicine, St. George's, GRD.

Medicine, St. George's University School of Medicine, St. George's, GRD.

出版信息

Cureus. 2024 Jul 22;16(7):e65096. doi: 10.7759/cureus.65096. eCollection 2024 Jul.

DOI:10.7759/cureus.65096
PMID:39171024
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11337975/
Abstract

Postpartum hemorrhage (PPH) remains the leading cause of maternal mortality worldwide, with uterine atony being the most significant contributing factor. Other risk factors for PPH include increased maternal age, coagulation abnormalities, retained placenta, and prolonged third-stage labor. Despite the potential for prevention through early detection and management, PPH can still occur even in the absence of known risk factors. For this reason, adequate preparation and comprehensive management strategies must be implemented. This study, which comprises research from 2006 to 2023, reviews and analyzes various prevention and management techniques for PPH, including surgical and nonsurgical approaches. Key findings indicate that the presence of well-trained critical control teams is essential for the effective management of PPH. In addition, early detection techniques have significantly reduced mortality outcomes associated with PPH, highlighting their importance in patient care.

摘要

产后出血(PPH)仍然是全球孕产妇死亡的主要原因,其中子宫收缩乏力是最重要的促成因素。PPH的其他风险因素包括产妇年龄增加、凝血异常、胎盘残留和第三产程延长。尽管通过早期发现和管理有可能预防,但即使没有已知风险因素,PPH仍可能发生。因此,必须实施充分的准备和全面的管理策略。这项涵盖2006年至2023年研究的研究回顾并分析了PPH的各种预防和管理技术,包括手术和非手术方法。主要研究结果表明,训练有素的关键控制团队的存在对于PPH的有效管理至关重要。此外,早期检测技术显著降低了与PPH相关的死亡率,凸显了它们在患者护理中的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fa9/11337975/f01eaa71bdc2/cureus-0016-00000065096-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fa9/11337975/f01eaa71bdc2/cureus-0016-00000065096-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2fa9/11337975/f01eaa71bdc2/cureus-0016-00000065096-i01.jpg

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Real-World Utilization of an Intrauterine, Vacuum-Induced, Hemorrhage-Control Device.一种宫内真空诱导止血装置的真实世界应用情况
Obstet Gynecol. 2023 Nov 1;142(5):1006-1016. doi: 10.1097/AOG.0000000000005366. Epub 2023 Sep 13.
2
Intrauterine devices in the management of postpartum hemorrhage.宫内节育器在产后出血管理中的应用。
Am J Obstet Gynecol. 2024 Mar;230(3S):S1076-S1088. doi: 10.1016/j.ajog.2023.08.015. Epub 2023 Aug 30.
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Detection and management of postpartum haemorrhage: Qualitative evidence on healthcare providers' knowledge and practices in Kenya, Nigeria, and South Africa.
产后出血的检测与管理:关于肯尼亚、尼日利亚和南非医疗服务提供者知识与实践的定性证据
Front Glob Womens Health. 2022 Nov 18;3:1020163. doi: 10.3389/fgwh.2022.1020163. eCollection 2022.
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Postpartum Hemorrhage and its Associated Factors Among Women who Gave Birth at Yirgalem General Hospital, Sidama Regional State, Ethiopia.埃塞俄比亚锡达马地区伊加莱姆综合医院分娩妇女的产后出血及其相关因素
Health Serv Res Manag Epidemiol. 2021 Nov 26;8:23333928211062777. doi: 10.1177/23333928211062777. eCollection 2021 Jan-Dec.
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Prevalence and risk factors of severe postpartum hemorrhage: a retrospective cohort study.产后出血严重程度的患病率和危险因素:一项回顾性队列研究。
BMC Pregnancy Childbirth. 2021 Apr 26;21(1):332. doi: 10.1186/s12884-021-03818-1.
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Retained placenta and postpartum hemorrhage: time is not everything.胎盘滞留和产后出血:时间并非一切。
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Management of Postpartum Hemorrhage With a Mini-Sponge Tamponade Device.使用迷你海绵填塞器治疗产后出血的管理。
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Intrauterine Vacuum-Induced Hemorrhage-Control Device for Rapid Treatment of Postpartum Hemorrhage.宫腔内真空吸引止血控制装置用于快速治疗产后出血。
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Eur J Obstet Gynecol Reprod Biol. 2019 Sep;240:151-155. doi: 10.1016/j.ejogrb.2019.06.003. Epub 2019 Jun 18.
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