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頁籤選單縮合
題 名 | Emergency Arterial Embolization in the Management of Primary Postpartum Hemorrhage=緊急動脈栓塞治療原發性產後出血 |
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作 者 | 沈中章; 鄭汝汾; 許德耀; 張旭陽; | 書刊名 | 臺灣婦產科醫學會會刊雜誌 |
卷 期 | 42:3 2003.09[民92.09] |
頁 次 | 頁153-158 |
分類號 | 417.366 |
關鍵詞 | 動脈栓塞; 原發性產後出血; Embolization; Primary postpartum; |
語 文 | 英文(English) |
中文摘要 | 目的:評估緊急動脈栓塞治療難以處理的原發性產後出血的效果。材料和方法:我們回顧1992年五月到2002年五月間二十五位在本院接受動脈栓塞的原發性產後出血患者。所有原發性產後出血的患者都是以陰道填塞或給予子宮收縮劑治療無效再接受動脈栓塞治療。結果:接受動脈栓塞治療的主要的臨床適應症包括十二位子宮收縮無力患者、七位生殖道裂傷患者(包括陰道或子宮頸裂傷)、兩位前置胎盤患者、兩位黏生性胎盤患者、其中還有兩位懷孕合併子宮肌瘤的患者。以上二十五位孕婦皆在本院生產、所有病患都以gelatin sponge顆粒做動脈栓塞、其中一位患者因嚴重休克死亡。結論:經導管動脈栓塞在治療血行動力學尚穩定的患者是一個安全而有效的方法、但是若患者血行動力學不穩定且出血無法控制時仍有失敗的可能。 |
英文摘要 | Objective: To evaluate the efficacy of emergency selective arterial embolization in the management of intractable primary postpartum hemorrhage. Material(s) and Method(s): A retrospective review was undertaken of 25 women with life-threatening primary postpartum hemorrhage who underwent uterine embolization from May 1992 to May 2002. In all cases, hemostatic embolization was perlormed because of intractable hemorrhage which could not be controlled with vaginal packing and administration of uterotonic drugs. Result(s): The major clinical indications for transcatheter embolization included uterine atony in 12 women, a genital tract lesion (vaginal or cervical tears) in 7 women, placenta previa in 2 women, and placenta accreta in 2 women. Two patients were known to have myomas. All were already in-house. Twenty-four women were successfully treated using transcatheter arterial embolization with gelatin sponge particles, and 1 patient expired due to irreversible shock. Conclusion(s): Transcatheter arterial embolization therapy is a safe and effective means for treating hemodynamically stable patients. It may fail when patients have an unstable hemodynamic status with uncontrollable hemorrhaging. |
本系統中英文摘要資訊取自各篇刊載內容。