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首页> 外文期刊>Current opinion in anaesthesiology >Strategies to manage major obstetric haemorrhage.
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Strategies to manage major obstetric haemorrhage.

机译：处理重大产科出血的策略。

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摘要

PURPOSE OF REVIEW: Haemorrhage remains a cause of significant maternal morbidity and mortality. This review summarizes the prevention, management and treatment of obstetric haemorrhage and highlights recent advances and developments. RECENT FINDINGS: Postpartum haemorrhage is the most common cause of major obstetric haemorrhage and is usually due to uterine atony. Pharmacological treatment has not altered much in recent years with oxytocin and ergometrine remaining first-line options. Although controversy surrounds its advantages over other uterotonics, the use of misoprostol has been increasing, especially in resource-poor countries. Placenta accreta is becoming more common, a sequelae to the rising caesarean section rate. Interventional radiology may reduce blood loss in these cases. Uterine compression sutures, intrauterine tamponade balloons and cell salvage have all made their debut in the last decade. SUMMARY: Accurate diagnosis and appropriate management of obstetric haemorrhage can reduce maternal morbidity and mortality. This review outlines the current evidence.
机译：审查目的：出血仍然是造成孕产妇高发病率和高死亡率的原因。这篇综述总结了产科出血的预防，管理和治疗，并重点介绍了最近的进展和发展。最新发现：产后出血是严重产科出血的最常见原因，通常是由于子宫收缩乏力所致。近年来，催产素和麦角新碱仍然是一线治疗药物治疗没有太大变化。尽管争议围绕着它相对于其他子宫药的优势，但米索前列醇的使用一直在增加，特别是在资源贫乏的国家。胎盘增生变得越来越普遍，这是剖腹产率上升的后遗症。在这些情况下，介入放射学可以减少失血量。子宫加压缝合线，子宫内填塞球囊和抢救细胞都在过去十年中首次亮相。摘要：产科出血的准确诊断和适当处理可以降低孕产妇的发病率和死亡率。这篇综述概述了当前的证据。

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