介入治疗在产后出血中的应用

目的 探讨介入治疗在产后出血中的疗效以及评估其临床意义.方法 回顾性分析我院在2008年10月～2010年3月期间9例采用介入疗法治疗产后出血的病例,9例产后出血患者均采用Seldinger技术穿刺股动脉,行子宫动脉造影,并应用明胶海绵栓塞子宫动脉.结果 9例产后出血患者采用传统疗法均不能有效控制出血,采用介入疗法后能够有效地控制出血,纠正患者休克状态,并且介入治疗具有时间短,止血快,能够保留子宫等功能.术后9例患者无一例发生下肢动脉血栓形成.结论 介入治疗能够控制传统疗法所不能控制的严重产后出血,提高产妇发生严重产后出血的生存率,为临床应用介入疗法治疗产后出血提供了有力依据.

The application of interventional therapy for the treatment of postpartum hemorrhage

Objective To investigate the effect of interventional therapy on the puerpera with postpartum hemorrhage and assess its clinical significance.Methods Retrospectively analyze 9 cases of postpartum hemorrhage treated by interventional therapy from October 2008 to March 2010 in our hospital.9 cases of postpartum hemorrhage were all treated by Seldinger technique: puncturing the femoral artery,making uterine artery angiography and Uterine artery embolization with gelatin sponge.Results 9 cases of postpartum hemorrhage could not be effectively controlled bleeding with traditional therapy,but after interventional therapy bleeding stopped quickly and shock manifestation disappeared.Interventional threapy took a short time,stopped bleeding quickly,retained the uterus and had other functions.None of 9 cases suffered lower extremity arterial thrombosis after interventional threapy.Conclusion Interventional therapy can control serious postpartum hemorrhage which can not be treated by traditional therapy,improve puerpera survival rates with severe postpartum hemorrhage.This article provide a strong basis for clinical application of interventional therapy for the treatment of postpartum hemorrhage.