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Application of Bakri balloon in a patient who developed massive postpartum hemorrhage after caesarean section

机译:Bakri球囊在剖宫产术后大出血发生中的应用

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Postpartum hemorrhage is an important emergency in obstetrics. In this study, we present the application of intrauterine balloon tamponade and its outcomes in a patient who developed massive postpartum hemorrhage after caesarean section. A 39- year-old, G5 P3 and 38 weeks pregnant (based on last menstrual period) patient was subjected to emergency caesarean section due to diagnosis of uteroplacental insufficiency and recurrent caesarean section. Four hours after the operation, atony occurred and despite medical treatment the hemorrhage persisted. We inserted a SOS Bakri balloon through the vaginal route and inflated it with 500cc intracavitary saline for achievement of intrauterine tamponade. Vaginal bleeding ended immediately after the procedure. Use of an intrauterine balloon is an easy-to-apply alternative to surgery that provides rapid hemostasis in serious postpartum hemorrhages
机译:产后出血是产科的重要紧急事件。在这项研究中,我们介绍了在剖宫产后发生大量产后出血的患者中,宫内球囊填塞术的应用及其结局。一名39岁,G5 P3且怀孕38周(基于最后一次月经)的患者因诊断为子宫胎盘功能不全和再次剖腹产而接受了紧急剖腹产。手术后四个小时,无心症发生,尽管进行了治疗,出血仍然持续。我们通过阴道途径插入了一个SOS Bakri气球,并用500cc腔内生理盐水充气以实现宫内压塞。手术后立即结束阴道出血。宫腔内气球的使用是易于手术的替代方法,可在严重的产后出血中迅速止血

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