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产后出血管理中产后子宫的超声评估

Ultrasonic evaluation of the postpartum uterus in the management of postpartum bleeding.

作者信息

Lee C Y, Madrazo B, Drukker B H

出版信息

Obstet Gynecol. 1981 Aug;58(2):227-32.

PMID:6973109
Abstract

Although the diagnostic use of ultrasound has been well established in the management of antepartum problems, its place in the postpartum period has not been widely recognized. Fifty-six patients with postpartum bleeding underwent ultrasonic evaluation of postpartum uterus. Retained placental tissue was found in 9, and large blood clots in 5 patients. Forty-two patients who were found to have an empty uterus were treated conservatively with intravenous oxytocin infusion. The ultrasonic diagnosis correlated well with the clinical findings and with response to treatment. The results of the study encouraged the authors to continue the investigation, which thus far favors the routine use of ultrasound in managing postpartum bleeding.

摘要

尽管超声诊断在产前问题的处理中已得到广泛应用,但其在产后阶段的作用尚未得到广泛认可。56例产后出血患者接受了产后子宫的超声评估。9例发现有胎盘组织残留,5例发现有大血块。42例子宫内无残留物的患者接受了静脉滴注催产素的保守治疗。超声诊断与临床发现及治疗反应密切相关。该研究结果鼓励作者继续进行调查,目前的研究结果支持在处理产后出血时常规使用超声。

相似文献

1
Ultrasonic evaluation of the postpartum uterus in the management of postpartum bleeding.产后出血管理中产后子宫的超声评估
Obstet Gynecol. 1981 Aug;58(2):227-32.
2
[Possibilities for the use of ultrasonography in the puerperium].[产后超声检查的应用可能性]
Zentralbl Gynakol. 1989;111(4):211-6.
3
Management of postpartum hemorrhage.产后出血的管理
Am Fam Physician. 1997 Feb 1;55(2):635-40.
4
Prevention and management of postpartum hemorrhage.产后出血的预防与管理
Am Fam Physician. 2007 Mar 15;75(6):875-82.
5
A randomized controlled trial comparing oxytocin administration before and after placental delivery in the prevention of postpartum hemorrhage.一项比较胎盘娩出前后使用缩宫素预防产后出血的随机对照试验。
Am J Obstet Gynecol. 2001 Oct;185(4):873-7. doi: 10.1067/mob.2001.117363.
6
[Post-partum hemorrhages. Diagnosis and therapy].
Fortschr Med. 1979 Dec 6;97(46):2132-42.
7
Efficacy of routine postpartum uterine exploration and manual sponge curettage.常规产后子宫探查及手动海绵刮宫术的疗效
J Fam Pract. 1989 Feb;28(2):172-6.
8
Primary postpartum haemorrhage: causes, aetiological risk factors, prevention and management.原发性产后出血:病因、危险因素、预防及处理
P N G Med J. 1995 Jun;38(2):133-49.
9
Use of contact hysteroscopy in evaluating postpartum bleeding and incomplete abortion.接触性宫腔镜检查在评估产后出血和不完全流产中的应用。
J Reprod Med. 1984 Oct;29(10):749-51.
10
Obstetric risk factors and outcome of pregnancies complicated with early postpartum hemorrhage: a population-based study.产科危险因素与并发早期产后出血的妊娠结局:一项基于人群的研究。
J Matern Fetal Neonatal Med. 2005 Sep;18(3):149-54. doi: 10.1080/14767050500170088.

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Ultrasonographic Evaluation of Uterine Involution in the Early Puerperium.产褥早期子宫复旧的超声评估
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Uneventful cesarean delivery with administration of factor XI concentrate in a patient with severe factor XI deficiency.在一名严重缺乏凝血因子XI的患者中,剖宫产手术顺利,并给予了凝血因子XI浓缩剂。
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