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首页> 外文期刊>Journal of Clinical and Experimental Investigations >Approach to cases with postpartum haemorrhage: Retrospective analysis of 41 cases
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Approach to cases with postpartum haemorrhage: Retrospective analysis of 41 cases

机译：产后出血的处理方法：回顾性分析41例

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Objective: To assess treatment approaches and outcomes in 41 cases with postpartum haemorrhage (PPH).Methods: Screening the electronic database of the hospital identified 41 cases admitted to the obstetrics clinic with a diagnosis of PPH (ICD codes: O72, O72, O72.2) between January 1, 2010, and June 30, 2013. The clinical findings and the results of the surgical and medical treatments used were noted in all the patients.Results: Forty-one cases with PPH were detected who had been managed at the clinic during a 3-year period. Normal spontaneous vaginal delivery (26 patients; 63.4%) was the most common type of delivery. Uterine atony was the most common cause of PPH in 30 patients (73.2%). Medical therapy was the most common therapeutic approach in PPH caused by uterine atony (16 patients; 53.3%), followed by total abdominal hysterectomy (TAH) plus bilateral hypogastric artery ligation (9 patients; 30.0%), uterine packing sutures plus bilateral hypogastric artery ligation (BHAL) (4 patients; 13.3%) and intrauterine balloon tamponade (IUBT) (one patient; 2.4%). Only one of 3 patients with uterine rupture underwent a hysterectomy. Three patients in whom placental adhesion anomalies were detected were treated by a combination of manual removal of the placenta, uterine curettage and IUBT.Conclusion: The results suggest that care should be taken regarding PPH in pregnant women, even in those without any risk factors. In particular, the third phase of labour should be carefully monitored. Medical treatment and organ-sparing surgery are generally associated with positive outcomes in patients with stable haemodynamic status
机译：目的：评估41例产后出血（PPH）的治疗方法和结果。方法：筛选该医院的电子数据库，确定41例诊断为PPH的产科门诊患者（ICD代码：O72，O72，O72）。 2）在2010年1月1日至2013年6月30日之间。所有患者均记录了临床发现以及所采用的外科手术和药物治疗的结果。结果：检出41例在PPH处接受治疗的PPH患者。三年内就诊。正常的自然阴道分娩（26例; 63.4％）是最常见的分娩类型。子宫收缩乏力是30例患者中最常见的PPH病因（73.2％）。在子宫内膜无力引起的PPH中，药物治疗是最常见的治疗方法（16例; 53.3％），其次是全腹子宫切除术（TAH）加双侧胃下动脉结扎（9例; 30.0％），子宫缝合线加双侧胃下动脉结扎术（BHAL）（4例; 13.3％）和子宫内球囊压塞（IUBT）（1例; 2.4％）。 3例子宫破裂患者中只有1例接受了子宫切除术。对三名发现胎盘粘连异常的患者进行了人工去除胎盘，子宫刮宫和IUBT的联合治疗。结论：结果表明，即使在没有任何危险因素的情况下，孕妇也应注意PPH。特别是，应仔细监控第三阶段的劳动。血液动力学稳定的患者，药物治疗和保留器官的手术通常与阳性结果相关

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