摘要
产后出血是分娩期常见而且严重的并发症,在药物和子宫按摩不能控制出血时,需采取手术干预。保守性手术是指保留子宫的手术方法,包括血管结扎、宫腔填塞压迫止血、子宫压迫缝合治疗中具有里程碑式的意义,并且由此改良出多种子宫压迫缝合方法。这些技术各有利弊和不同的适应证,根据产后出血的不同原因选择合适的保守性手术方式,才能达到良好止血和减少并发症的目的。
Postpartum hemorrhage （PPH） is one of the leading causes of maternal morbidity and mortali- ty worldwide. When PPH is unresponsive to medica- tion or uterine massage, conservative surgical inter- vention （uterine reserved） is necessary. These surgi- cal interventions include arterial ligation, intrauterine tamponade techniques and uterine compression suture （such as Cho suture and B-Lynch which is a mile- stone in the conservative surgical treatment of PPH）. However each technique has both merits and draw- backs, obstetricians must be aware of the cause of the PPH and the indication of various technique.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2014年第4期265-271,共7页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
产后出血
动脉结扎
子宫压迫缝合
postpartum hemorrhage （ PPH ）
arterial ligation
uterine compression suture
