| 产科心肺复苏后子宫切除的实施 |
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| 引用本文： | 宋天蓉,余艳红,苏桂栋,应德耀,肖超群. 产科心肺复苏后子宫切除的实施[J]. 南方医科大学学报, 2008, 28(12): 2174-2176 |
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| 作者姓名： | 宋天蓉 余艳红 苏桂栋 应德耀 肖超群 |
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| 作者单位： | 南方医科大学南方医院妇产科,广东,广州,510515;南方医科大学南方医院妇产科,广东,广州,510515;南方医科大学南方医院妇产科,广东,广州,510515;南方医科大学南方医院妇产科,广东,广州,510515;南方医科大学南方医院妇产科,广东,广州,510515 |
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| 基金项目： | 广东省自然科学基金 ， 广东省医学科学技术研究基金 |
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| 摘 要： | 目的 调查产科失血性休克所致心跳骤停的产妇复苏后子宫切除情况.探讨子宫切除在抢救患者生命时的指征及相关因素.方法 通过回顾性调查近5年来广州市部分医院对因产科失血性休克致心跳骤停13例患者,12例积极实施了子宫切除,1例行子宫动脉栓塞术.结果 对13例心跳骤停后复苏成功而子宫仍有活动性出血者实施了子宫切除术或子宫动脉栓塞术,仅4例存活.结论 围分娩期准备充分,积极抢救产科失血性休克,早期复苏,适时切除子宫,重视血管介入治疗是复苏成功及提高存活率的关键.
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| 关 键 词： | 产科失血性休克 心脏骤停 子宫切除术 |
Hysterectomy after cardiopulmonary resuscitation in patients with obstetric hemorrhagic shock |
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| SONG Tian-rong,YU Yan-hong,SU Gui-dong,YING De-yao,XIAO Chao-qun. Hysterectomy after cardiopulmonary resuscitation in patients with obstetric hemorrhagic shock[J]. Journal of Southern Medical University, 2008, 28(12): 2174-2176 |
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| Authors: | SONG Tian-rong YU Yan-hong SU Gui-dong YING De-yao XIAO Chao-qun |
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| Affiliation: | SONG Tian-rong,YU Yan-hong,SU Gui-dong,YING De-yao,XIAO Chao-qun Department of Obstetrics , Gynecology,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China |
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| Abstract: | Objective To explore the indication of hysterectomy after successful resuscitation of cardiac arrest due to obstetric hemorrhagic shock. Methods A retrospective analysis was conducted in 13 patients with cardiac arrest due to obstetric hemorrhagic shock in 7 hospitals of Guangzhou, including 12 patients undergoing hysterectomy and 1 undergoing uterine artery embolization. Results After successful cardiopulmonary resuscitation, only 4 of the 13 patients undergoing hysterectomy or uterine artery embolization ... |
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| Keywords: | obstetric hemorrhagic shock cardiac arrest obstetrical hysterectomy |
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