产后出血药物及手术治疗进展(1)
[摘要] 产后出血在我国是目前产科最严重的并发症及孕产妇死亡的主要原因之一,其严重时直接危及产妇的生命。积极预防和控制产后出血是降低孕产妇死亡率的关键。目前临床治疗产后出血的药物及其他非药物方法较多,其中药物治疗近年来得到很大进展,其中缩宫素、麦角新碱、前列腺素类药物是治疗产后出血的一线药物,另外一些辅助处理方法也得到广泛应用,主要包括宫腔填塞、宫腔球囊压迫、血管结扎、介入治疗及子宫切除等,本文就产后出血的临床处理方法进行综述。[关键词] 产后出血;药物治疗;手术治疗;介入治疗
[中图分类号] R714.46+1[文献标识码] B[文章编号] 1674-4721(2014)05(a)-0194-03
Review of drugs and surgical treatment of postpartum hemorrhage
HUANG Xiao-hong
Department of Obstetrics and Gynecology,the Second People′s Hospital of Beihai City in Guangxi Zhuang Autonomous Region,Beihai 536000,China
[Abstract] In our country,postpartum hemorrhage is one of the most serious obstetric complications and the leading cause of maternal mortality,directly endanger the maternal lives.The key to reducing maternal mortality is active prevention and control of postpartum hemorrhage.Current clinical treatment of postpartum hemorrhage including drugs and other non-pharmacological methods are more,and medication treatment get great progress in recent years,of which oxytocin,ergometrine,prostaglandin drug arefirst-line drugs for the treatment of postpartum hemorrhage,while others assisted treatment method has also been widely used,including uterine tamponade,uterine balloon compression,pelvic vessel ligation,intervention treatment and hysterectomy.This paper reviews progress on clinical treatment of postpartum hemorrhage. ......
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