摘要
目的 :探讨产后子宫大出血急诊动脉栓塞的应用价值。方法 :本组 13例产后子宫大出血患者平均出血量2 2 0 0ml ,采用Seldinger法先行腹主动脉造影 ,明确出血动脉后 ,选择或超选择性插管 ,经导管注入明胶海绵颗粒和真丝线段栓塞。结果 :13例子宫大出血患者全部栓塞成功 ,随访 3个月仍无复发。结论 :急诊动脉栓塞治疗产后子宫大出血既安全、有效 ,又无严重并发症发生 ,值得临床推广使用。
Objective:To evaluate the effectiveness of internal iliac artery embolotherapy (IIAE) for acute primary postpartum hemorrhage (APPH).Methods:13 cases of APPH whose volume of bleeding ranged from 1500ml to 3600ml (mean 2200ml) were treated by IIAE with gelform and/or silk fragment.Results:Selective catheterization and embolotherapy were successful in all cases of APPH without any serious complications.Follow up for 3～4 months,no recurrent hemorrhage was observed. Conclusion:IIAE is a quick,safe and effective method for treatment of APPH without serious complication.
出处
《放射学实践》
2004年第8期593-595,共3页
Radiologic Practice
关键词
急诊科
动脉栓塞
产后疾病
子宫出血
并发症
Embolization,therapeutic
Postpartum hemorrhage
Uterine hemorrhage
