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1、急诊介入栓塞治疗产后大出血的临床观察作者：李建文,张剑,舒建军,杨学俊,童彦芳单位：宁夏石嘴山市第一人民医院，宁夏石嘴山【摘要】目的探讨急性产后大出血行超选择性子宫动脉栓塞的治疗效果及临床应用价值。方法对16例急性产后出血病例，采用改良Seldinger技术经皮股动脉穿刺行子宫动脉插管并造影,造影后采用明胶海绵颗粒栓塞，术后随访观察出血、血压、子宫复旧等情况。结果16例产后出血患者双侧子宫动脉全部插管，15例栓塞成功，栓塞术后30min内阴道流血量显著减少,栓塞术后病人仅表现轻微的疼痛和不同程度的发热。1例因止血不完全而行子宫次全切除术。15例随访4-11个月
2、患者均有规律的月经来潮，无严重并发症发生。结论超选择性子宫动脉栓塞具有创伤小、止血迅速、彻底、可保留子宫等优点，是急性难治性产后出血最安全、有效的止血手段,并保留子宫的完整和正常生理功能。【关键词】子宫动脉；产后出血；放射学；介入治疗；栓塞TheclinicaleffectofemergencyarterialembolismtreatmentinpostpartumhematorrheaLIJian-wen，ZHANGJian，SHUJian-jun，etal. (TheFirstPeople'sHospitalofShizuishan,Ningxia753
3、200,China) ［Abstract］ObjectiveDiscusstheacutemassivehemorrhageinthepostpartumlinesurpassingtheselectivitywombarterialembolism'scuringeffectandclinicalpracticevalue。Methods16impatientpostpartumhemorrhageofexamplecase，AdoptSeldinger'stechnologiestodothewombarterialplungingtubeandther
4、adiographyafterskinsharearteriopuncture,Theradiographyqueenadoptthegelatinfoamrubberorplasticpelletembolism,Conditionsuchasbleeding,bloodpressure,wombbackswingthepostoperativefollow-upisobserved.Results16examplepostpartumhemorrhagespatientsinclineallwombarterialplungingtubespair,15e
5、xampleembolismsaresuccessful,Embolismthevaginableedswithin30minmeasuringthenotabledecrease,theembolismskillqueenpatientshowsslightpainandfeverheattovaryingdegreesonly,gravecomplicationappearonexamplewithout1.1examplesatisfiesaresectiontimebecauseoftheincompletebutcapablewombstanchin
6、gbleeding.15examplefollow-ups4～11monthspatientsmenseshavinglawwithoutexceptionrising,Happenwithoutgravecomplication.ConclusionSurpasstheselectivitywombarterialembolismhavingwoundmeritsuchassmall,stanchingbleedingtomayreserveawombprompt,thorough,Beanimpatientfunctiondifficulttobrings
7、afe,effectivehemostasisofnaturepostpartumhemorrhagemeansundercontrol,andtoreserveawomb'stoentireandbearchild. ［Keywords］Wombarterial；Postpartumhemorrhage；Radiology；Getinvolvedintreat；Embolization 产后子宫大出血是产科的主要并发症和主要死亡原因之一，治疗原则是迅速止血，纠正失血性休克和控制感染，如果不能及时止血，常危及患者生命。我院自2003年4月—20
8、08年12月对16例急性子宫出血患者进
