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首页> 外文期刊>Open Journal of Obstetrics and Gynecology >Conservative management of a recurrent puerperal uterine inversion with bakri? balloon tamponade
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Conservative management of a recurrent puerperal uterine inversion with bakri? balloon tamponade

机译：Bakri对复发性产后子宫的保守治疗？球囊填塞

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摘要

Puerperal Uterine Inversion (PUI) is a rare but potentially life-threatening delivery complication in which the uterine fundus collapses within the endometrial cavity. This “glove-finger” introflexion of uterine walls generally occurs as an immediate postpartum complication and is responsible of different degrees of vaginal bleeding, shock and hypogastric pain that can cause serious maternal complications, including death. There are few reports of recurrent postpartum uterine inversion like the one we present here, and its causes remain unclear. Early diagnosis of this complication is crucial as it is the only one measure that can allow a successful and conservative treatment: an inverse relationship between the time that uterus keeps inverted and the probability of repositioning has been firmly established. This case report describes the exceptional and innovative use of the SOS Bakri? balloon (Cook Medical Incorporated) in the management of a recurrent puerperal uterine inversion. To our knowledge it is one of the first reports in the world of this procedure, perhaps the second one after Soleymani’s et al description; and the first one in a third degree recurrent puerperal uterine inversion.
机译：产褥期子宫内翻（PUI）是一种罕见但可能危及生命的分娩并发症，其中子宫底子宫内膜腔内塌陷。子宫壁的这种“手套-手指”内翻通常是产后立即发生的并发症，并导致不同程度的阴道出血，休克和胃下痛，可引起严重的孕产妇并发症，包括死亡。很少有像我们这里介绍的那样发生复发性产后子宫内翻的报道，其原因尚不清楚。这种并发症的早期诊断至关重要，因为这是可以成功且保守治疗的唯一措施：子宫倒置的时间与重新定位的可能性之间的反比关系已得到牢固确立。此案例报告描述了SOS Bakri的特殊和创新用法。气球（库克医疗公司）处理复发性产褥期子宫内翻。据我们所知，这是该程序世界上的第一份报告之一，也许是继Soleymani等人的描述之后的第二份报告。第一个是三度复发性产后子宫内翻。

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