国际麻醉学与复苏杂志   2015, Issue (12): 3-3
    
介入性治疗在产后出血中应用的研究进展
邹璐雯, 徐铭军1()
1.首都医科大学附属北京妇产医院
Review of the Applications of Interventional Therapy in Postpartum Hemorrhage
 全文:
摘要:

背景:产后出血是导致孕产妇死亡的主要原因之一,在我国其发生率为2%-3%,尤其是剖宫产术中出血又是剖宫产最常见、严重的并发症之一,往往短时间内出血量大,若不进行及时适当的救治,产妇就可能在短时间内休克甚至死亡。目的:通过分析介入性治疗在产后出血中应用的现状及进展,合理推广及应用新技术,有效减少产后出血发生率及其严重并发症。内容:本文将对经导管动脉栓塞术及动脉球囊导管阻断术在治疗剖宫产产后出血中应用的研究进展进行综述。趋势:介入性治疗具有快速有效、创伤小、可保留子宫、并发症轻等优点,近年来在产科出血方面发挥着重要作用。同时无创显影技术应用于介入治疗成为临床研究的新方向。

关键词: 介入性治疗,经导管动脉栓塞术,动脉球囊导管阻断术,产后出血
Abstract:

Background:Postpartum hemorrhage(PPH) is one of the leading causes of maternal death, the incidence is 2% to 3% in our country. Especially intraoperative hemorrhage is one of the most common and serious complications during caesarean section. It often occurs in a short time and the amount is huge , maternals may shock and even die in a short time if not given timely and appropriate treatment. Objective: By analyzing the interventional therapy in PPH, apply and promote new technology reasonably and reduce the incidence of PPH and its complications. Content : This is a short review of the transcatheter arterial embolization(TAE) and temporary arterial catheter balloon occlusion in the treatment of postpartum hemorrhage in cesarean section.Trend: Interventional therapy has lots of advantages which is fast and efficient, with small trauma, retaining the uterine and mild complications. In recent years, it plays an important role in PPH. At the same time, application of noninvasive imaging technique in the interventional therapy has become a new direction of clinical research.

Key words: Interventional therapy, Transcatheter arterial embolization, Artery balloon catheter occlusion, Postpartum hemorrhage