Oei P L, Chua S, Tan L, Ratnam S S, Arulkumaran S
Department of Obstetrics and Gynaecology, National University of Singapore, Singapore.
Int J Gynaecol Obstet. 1998 Jul;62(1):83-6. doi: 10.1016/s0020-7292(98)00071-x.
Angiographic embolization is a well documented technique that has been utilized for controlling pelvic hemorrhage. A case is described of a 41-year-old para 3 woman with intractable bleeding following a cesarean hysterectomy for postpartum hemorrhage due to uterine atony and coagulopathy. On angiogram, no bleeding was seen from the uterine vessels. An injection of dye above the origin of the gonadal vessels showed persistent hemorrhage from the left ovarian artery. This report illustrates the importance of intensive resuscitation and supportive measures, and the value of angiographic embolization after failed surgery. It also emphasizes the need to locate the exact bleeding vessel on angiography for embolization to be successful.
血管造影栓塞术是一种有充分文献记载的用于控制盆腔出血的技术。本文描述了一例41岁经产3次的女性患者，因子宫收缩乏力和凝血功能障碍在剖宫产子宫切除术后出现难治性出血。血管造影显示子宫血管未见出血。在性腺血管起源上方注射染料显示左侧卵巢动脉持续出血。本报告说明了强化复苏和支持措施的重要性，以及手术失败后血管造影栓塞术的价值。它还强调了在血管造影时确定确切出血血管对于栓塞成功的必要性。
