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对28例产后出血患者在抢救的过程中,行股动脉穿刺髂内动脉造影,明确出血部位后,选择或超选择插管,根据出血血管情况,经导管注入明胶海绵条或普通弹簧钢圈等进行栓塞,以达到止血目的。结果:28例产后大出血患者全部栓塞成功,其中包括3例凝血功能不全患者,11例严重的软产道裂伤患者,术后2~20 d痊愈出院,随访1月~2年,大部分患者月经已正常来潮,无一例大出血现象,复查子宫附件未见明显异常。结果表明:超选择动脉栓塞可用于治疗产后难治性大出血,特别是严重的软产道裂伤及凝血功能不全患者,该方法既安全有效,又无严重并发症。
28 patients with postpartum hemorrhage in the rescue process, the line of femoral artery puncture iliac artery angiography, a clear bleeding site, the choice or superselective intubation, bleeding vessels according to the situation, through the catheter into the gelatin sponge or ordinary spring steel ring Embolization, in order to achieve the purpose of bleeding. Results: All the 28 cases of postpartum hemorrhage were successfully embolized, including 3 cases of coagulopathy, 11 cases of serious soft birth canal laceration, and were discharged after 2 to 20 days. The patients were followed up for 1 month to 2 years. Most of the patients had menstruation Has a normal craze, no case of bleeding, no significant abnormalities in the uterus annex review. The results show that: Superselective arterial embolization can be used to treat refractory postpartum hemorrhage, especially in severe cases of soft birth canal laceration and coagulopathy, the method is safe and effective, but no serious complications.