国际妇产科学杂志

国际妇产科学杂志 ›› 2014, Vol. 41 ›› Issue (4): 431-433.

• 论著 • 上一篇    下一篇

持续按摩子宫治疗宫缩乏力性产后出血7例分析

闫莉   

  1. 215000 苏州市立医院妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-08-15 发布日期:2014-08-15

Treatment of 7 Cases of Postpartum Hemorrhage Caused by Uterine Inertia with Massaging Uterus Continuously

YAN Li   

  1. Department of Obstetrics and Gynecology，Suzhou Municipal Hospital，Suzhou 215000，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-08-15 Online:2014-08-15

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摘要： 目的：探讨持续按摩子宫治疗宫缩乏力性产后出血的临床价值。方法：回顾性分析苏州市立医院2010年8月—2011年5月诊断为宫缩乏力性产后出血的7例患者，其中1例凶险性前置胎盘，数字减影血管造影（DSA）下行子宫动脉栓塞术后持续按摩子宫，另外6例在补充血容量及在生命体征平稳的情况下，持续按摩子宫。持续按摩子宫时间1~2.5 h，辅以宫缩剂等药物治疗。结果：7例患者均成功保留子宫及生育能力。结论：配合其他方法如子宫动脉栓塞及宫缩剂等药物，持续按摩子宫治疗宫缩乏力性产后出血疗效显著，且操作简单、方便、经济，可有效地缩短出血时间。

关键词: 宫缩乏力, 产后出血, 输血, 催产素, 持续按摩子宫

Abstract: Objective： To investigate the clinical value of continuous uterine massage treatment of uterine inertia postpartum hemorrhage. Methods：By retrospective study method，seven cases of intractable postpartum hemorrhage patients were received the treatment of continuous uterine massage for 1 to 2.5 hours in addition with the apply of uterotonic form August 2010 to May 2011，the one was received uterine artery embolization by digital subtraction angiography（DSA） before continuous uterine massage who is the pernicious placenta previa，the others were received continuous uterine massage in the condition of supplement the blood volume and the vital signs stable. Results：Seven patients were successfully saved，their uterine and fertility were also kept. Conclusions：The effect of continuous uterine massage treatment of uterine inertia postpartum hemorrhage is significance，and the operation is simple，convenient，economical，which was combined with drug treatment may be more effective to shorten the bleeding time.

Key words: Uterine inertia, Postpartum hemorrhage, Blood transfusion, Oxytocin, Continuous uterine massage