卡前列素氨丁三醇加子宫动脉结扎在凶险型前置胎盘中的应用

目的 探讨凶险型前置胎盘剖宫产术中出血的有效治疗措施.方法 对2010年10月至2011年12月在本院用卡前列素氨丁三醇加子宫动脉结扎治疗凶险型前置胎盘剖宫产术中大出血16例进行回顾分析.结果 凶险型前置胎盘剖宫产术中应用卡前列素氨丁三醇加子宫动脉结扎15例获得成功10例24 h出血小于500 ml,5例出血小于1000 ml,无一例感染或发生晚期产后出血;1例行子宫切除,无产妇死亡.结论 卡前列素氨丁三醇加子宫动脉结扎是治疗凶险型前置胎盘中出血的一种有效方法.

Application of Carboprost Tromethamine and Uterine Artery Ligation to Prevent Hemorrhage Caused by Pernicious Placenta Previa During C-section

Objective To study an effective therapeutic measure of hemorrhage used by pernicious placenta previa during C-section.Methods To look back and analyze of 16 patients in our hospital who suffered from hemorrhage caused by pernicious placenta previa during C-section and treated with carboprost tromethamine and Uterine artery ligation from October 2010 to December 2011.Results 15 patients succeeded in haemostasis.10 patients 24 hours of bleeding is less than 500 ml,5 patients of bleeding less than 1000 ml.No infection and late postpartum hemorrhage.1 patients hysterectomy and no maternal died.Conclusion Carboprost tromethamine and Uterine artery ligation is an effective measure to treat hemorrhage caused by pernicious placenta previa during C-section.