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來源資料
頁籤選單縮合
題名 | A Useful Technique for the Control of Severe Cesarean Hemorrhage: Report of Three Cases=控制嚴重剖腹產出血的一種有效方法--三例報告 |
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作者 | 李耀泰; 尹長生; 陳福民; 趙德彰; | 書刊名 | 長庚醫學 |
卷期 | 25:8 2002.08[民91.08] |
頁次 | 頁548-552 |
分類號 | 417.366 |
關鍵詞 | 前置胎盤; 保守治療; 血管收縮素; Placenta previa; Conservation treatment; Vasopressin; |
語文 | 英文(English) |
中文摘要 | 當一患者在剖腹產時,如因前置胎盤導致嚴重出血,止血方法常包括子宮收縮劑,子宮接摩和子宮壓逼法等。但是一旦這些方法失敗,子宮動脈結紮,全部子宮肌肉層縫合和子宮內膜以血管收縮素(vasopressin)注射可以嘗試。可能單獨或結合這些方法,能成功的止血,每一位產科醫師都應熟悉這些簡單方法,避免子宮切除,並保留生育的能力,更可璔少手術的罹病率。 |
英文摘要 | When we are confronted with a patient experiencing placenta previa with massive hemorrhage in cesarean delivery, homeostasis is first attempted using uterotonic drugs, uterine massage, and intrauterine packing. However, if these maneuvers fail, then uterine artery ligation, whole myometrial suture, and subendometrial vasopressin injection should be attempted. Perhaps these procedures alone or in combination can successfully control t he hemorrhage. Every obstetrician must be familiar with these simple methods in order to avoid having to perform a hysterectomy and thus preserving the reproductive capability, as well as diminishing the operative morbidity. Finally, we described a full thickness suture for the placental site of bleeding for the lower uterine segment. |
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